Withdrawal form

Receiver:

Twilight Creations Shop&Rentals GmbH

Kopenhagener Str. 35-57

13407 Berlin

Email:

info@tc-effects.com

CANCELLATION

Herewith I/we(*)revoke the contract concluded by me/us (*) for the delivery of the following goods (*):

Ordered on (*)

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received on (*)

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Name of the consumer(s)

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Address of the consumer(s)

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Signature of the consumer(s) (only in case of paper communication)

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Date

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(*) Please delete where inapplicable