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Categories Withdrawal form

Withdrawal form

If you wish to withdraw from the contract, please fill out this form and send it.

Alternatively, you can download the form, and send by mail or fax to:

LEDaquaristik UG (limited liability)
Schierbusch 2
33161 Hövelhof
Germany
Fax +49 5257 93 666 51

I/we hereby withdraw from my/our concluded contract concerning the purchase of the following goods:

Order no. *

Items: *

Ordered on: *

Received on: *

Name of the consumer: *

Your email address *

Address of the consumer: *

Date: *

: If you didn't pay by PayPal or Amazon Pay, please fill in your bank account:

Depositor:

IBAN:

BIC:

: By submitting this form, you agree that we use your details to answer your inquiry or contact us. Disclosure to third parties will not take place unless this is justified by applicable data protection regulations or if we are legally obliged to do so. You may revoke this consent at any time with effect for the future. In case of cancellation your personal data will be deleted immediately. Otherwise your data will be deleted if we have processed your request or the purpose of the storage is omitted. You can always inform yourself about the data stored about your person. Further information on data protection can be found in the privacy policy of this website.

SenderName *