Cancellation Form

If you wish to revoke the contract, please fill out this form and return it.

To

Anja Keßler
Lichtbringer Company
Sallenthin Nr. 38
39624 Kalbe
Germany

Email: info@lichtbringer.de

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 (*) __________________

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Name of consumer(s)

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Address of consumer(s)

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Signature of consumer(s) (only for communication on paper)

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Date

(*) Delete as appropriate