Complete and return this form only if you wish to withdraw from the contract.
To:
Linda Wolters
trading as Liltheria
Am Landhaus 46
59555 Lippstadt
Germany
Email: shop@liltheria.com
I/We hereby give notice that I/we withdraw from my/our contract of sale for the following goods or services:
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Ordered on / received on:
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Name of consumer(s):
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Address of consumer(s):
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Signature of consumer(s), only if this form is submitted on paper:
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Date:
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Delete as appropriate.