Withdrawal

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

To

LED-Fashion GmbH
Jens Beutel
Pestalozzistr. 3
10625 Berlin
Germany

Fax: 030 31 8000 51
E-Mail: service@led-fashion.com

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