Withdrawal Form

Send to:
CipSoft GmbH
Prüfeninger Straße 20
93049 Regensburg

[email protected]

I hereby give notice that I withdraw from my contract _________________ (Order Number) for the provision of the following service _________________________________ (Service), ordered on __________ (Date) for my Tibia account __________________ (Email Address).

Date + Signature of consumer
(only if this form is notified on paper)

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