Withdrawal Form

If you want to withdraw from the contract, please fill in this form and send it back to us by email. Using this form is not obligatory – any clear statement is sufficient.

Model withdrawal form

To:
LOMERA
Emir Kilic
Germany
Email: returns@wearlomera.com

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*):

_______________________________________________

Ordered on (*) / received on (*): ____________________

Order number: ____________________

Name of consumer(s): ____________________

Address of consumer(s): ____________________

Signature of consumer(s) (only if this form is notified on paper): ____________________

Date: ____________________

(*) Delete as appropriate.