Withdra

If you wish to cancel the contract with invoice number ………………………………, please complete this form and return it to:

LANDLUVT

Diana Weiss

Mozartstr. 5

A-5230 Mattighofen

Austria

Phone: +43 (0) 664 73631290

Email: info@landluvt.com

I/we (*) hereby cancel the contract concluded by me/us (*) for the purchase of the following goods (*):

……………………………………………………………………………………………………………………………………………………..

ordered on (*) ………………………………. and received on (*) ……………………………….

My data (name, address and e-mail address of the consumer(s))

………………………………………………………………………………………………………

………………………………………… ………………………………………………………………………………………………………

Place, date Signature of consumer(s) (paper notice only)

(*) Delete where not applicable.