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Revocation Form

(If you wish to withdraw from the contract, please complete this form and return it to us.)

To:
VDN Berlin GmbH
Plauenerstr. 163-165, Haus D/2.OG/Gebäude 4
13053 Berlin, Germany
Email: shop@verdampftnochmal.de

I/we (*) hereby withdraw from the contract concluded by me/us (*) for the purchase of the following goods (*) / the provision of the following service (*):

Signature of consumer(s) (only if submitted on paper):

(*) Delete as appropriate.