Withdrawal

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

To

Lebens- und Arbeitsgemeinschaft Lautenbach e.V.

Dorfgemeinschaft Lautenbach 1
88634 Herdwangen-Schönach
Germany

Fax: 07552 / 262 - 162
E-Mail: vertrieb@lautenbach-ev.de

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