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% Donation form VoidWarranties VZW

I hereby declare to donate the following to VoidWarranties VZW:

O the financial amount of:


O the following goods:


I understand that the donation will become property of VoidWarranties and I lose all claims to it.

\vspace{25pt}

Date:


\vspace{25pt}

Name and signature:

\vspace{25pt}