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Withdrawal from the Agreement on Customs Clearance of Goods

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I hereby withdraw from the Agreement on Customs Clearance of the above shipment in the statutory time period of fourteen (14) days from the conclusion of the Agreement.

I hereby agree that I will compensate DHL Express (Czech Republic) s.r.o. for the costs incurred in relation to the customs clearance procedure in respect of the shipment until the delivery of this withdrawal notice.

*Mandatory