Withdrawal

Complete and return this form only if you wish to withdraw from the contract.

To

Lichtakzente
Claudia Saßmann
Gernlandweg 41
4060 Leonding
Austria

Fax: +43 (0)732/269290 10
E-Mail: office@lichtakzente.at

Withdrawal
Note: Delete as appropriate.
Name of consumer(s)
   
Address of consumer(s)
Your e-mail address, to immediately confirm the receipt of the withdrawal
Withdrawal date
Privacy I have read the privacy notice.
 

* required