Withdrawal

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

To

LB-Lohmann GmbH & Co.KG
Wilhelm Lohmann
Magdeburger Straße 220
39218 Schönebeck
Germany

Fax: 03928
E-Mail: info@lomol-oil.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