(complete and return this form only if you wish to withdraw from the contract)
To SoundCloud Ltd.
Rheinsberger Str. 76/77
10115 Berlin, Germany
Fax: +49 30 577 098 860, firstname.lastname@example.org:
I/We [*] hereby give notice that I/We [*] withdraw from my/our [*] contract of sale of the following goods [*]/for the provision of the following service [*],
Ordered on [*]/received on [*],
Name of consumer(s),
Address of consumer(s),
Signature of consumer(s) (only if this form is notified on paper),
[*] Delete as appropriate.
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