Model Withdrawal Form

If you wish to withdraw from the contract, please complete this form and return it to us.

To:
Lehner Design
Sandgasse 35
7142 Illmitz
Austria
Email: lukaslehnerdesign@gmail.com

I/We () hereby give notice that I/we () withdraw from the contract concluded by me/us () for the purchase of the following goods () / the provision of the following service (*)

Ordered on () / received on (): ___________________________

Name of consumer(s): ___________________________

Address of consumer(s): ___________________________

Signature of consumer(s) (only if this form is submitted on paper): ___________________________

Date: ___________________________

(*) Delete as appropriate.