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I
Cancellation Form
IK
Eisenbahnstrasse 36
10997 Berlin
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I hereby withdraw my purchase contract for the
following goods:
.........................................
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.................................................. ................................ Item name, size, price
ordered goods:
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............................. Date
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Goods received:
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............................. Date
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Name and address of the customer
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.............................
.............................
.............................
............................. Date
………………………………………………. Signature of the customern
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