Sample cancellation form

(If you want to cancel the contract, please fill out this form and send it back.)

- To Hans-Joachim Löblein, Fritz-Hintermayr-Str. 1, 86159 Augsburg, email address: Info@lucyandfly.com

- I/we (*) hereby revoke 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 the consumer(s)
- Address of the consumer(s)
- Signature of the consumer(s) (only for paper notification)
- Date

(*) Delete what is not applicable.