Withdrawal

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

To

Kanis-Augen
Walter Kanis
Ringstrasse 68
98724 Lauscha
Germany

Fax: (0049) 036702-356043
E-Mail: service@kanis-augen.eu

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
 

* required