withdrawal form

(If you want to revoke the contract, please fill out this form and send it back.)

At

Delicate Love Ltd

Kaiserswerther Strasse 132

40474 Dusseldorf

shop@delicatelove.com

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

________________________________________________

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Ordered on ___________________ (*)/received on _______________________(*)

Name of consumer(s) ______________________________________

Address of consumer(s)

_________________________________

_________________________________

_________________________________

Date:________________

Signature of consumer(s):___________________________________________

(only if notification is on paper)

(*) Delete where not applicable