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