Legal · Lazarus Lab

Model Withdrawal Form

(Complete and return this form only if you wish to withdraw from the contract. You don’t have to use it: a clear email to info@lazaruslab.net is also enough.)

– To: Lazarus Lab (LAZARUSLAB), Calle Jaén 31, 28020 Madrid, Spain – email: info@lazaruslab.net

– 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 (*):

…………………………………………………………………

Order number (optional): ……………………………

– Ordered on (*) …………… / received on (*) ……………

– Name of consumer(s): …………………………………………………………………

– Address of consumer(s): …………………………………………………………………

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

– Date: ……………

(*) Delete as appropriate.