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Cancellation form

(To exercise your right of withdrawal, please fill in the provided form and send it to us.)

To:
subtel GmbH
Plauener Str. 163-165
Haus E
13053 Berlin
Germany


I/We hereby revoke the contract concluded by me/us for the purchase of the products listed hereafter:


Your ordernumber:


Ordered at / Received on:


Your first and last name:


Your address as provided during the order:



____________________________________
Signature
(only if send by post)

Date: 16.10.2018


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