(THIS FORM SHOULD BE COMPLETED AND SENT ONLY IF YOU WISH TO CANCEL THE CONTRACT)

For the attention of LOTTUSSE, S.A.U., Avenida del Raiguer, 2. PO Box 22. 07300 Inca, Mallorca, Spain, Telephone 673-064-311 and e-mail atencionalcliente@lottusse.com :

I/we* hereby inform you that I/we cancel my/our* contract for the sale of the following merchandise*:

 

- Order number:

– ………….**

- Ordered on…... and received on…...

- Name of the consumer and user or of the consumers and users

- Address of the consumer and user or of the consumers and users

- Signature of the consumer and user or of the consumers and users (only if this form is presented on paper)

- Date

* Delete as applicable.

** Identify the merchandise using its name, reference, characteristics, etc.


Pais: 6 restricted_country_mode: 1 geolocation_country: United States PS_CATALOG_MODE: bool(false) PS_ALLOWED_COUNTRIES: DE;AD;AU;AT;BE;CU;DK;ES;FI;FR;GR;IE;IT;LV;LU;NO;NL;PL;PT;GB;CZ;RO;SE;CH PS_GEOLOCATION_BEHAVIOR: string(1) "1"