Return
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If you want to withdraw from the contract, please fill out this form and return it.
To Delirium² UG (limited liability)
Einbeckerstr. 28, 10317 Berlin
I/we () hereby revoke the contract concluded by me/us ()
for the purchase of the following goods ()
Ordered on ()
received on ()
Name of the consumer(s)
Address of the consumer(s)
Signature of the consumer(s)
(only if communicated on paper)
Date __
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