If you are an EU or UK consumer and want to withdraw from your LumiCodex subscription within the 14-day withdrawal period described in the Refund & Cancellation Policy, you may (but do not have to) use this model form. Complete it and send it to support [at] lumicodex [dot] com.
Model withdrawal form
(Complete and return this form only if you wish to withdraw from the contract.)
To: LumiCodex — SIRET 981 087 513 00017 — Annemasse (74100), France — support [at] lumicodex [dot] com
I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract for the supply of the following service:
- Ordered on / received on (*): _______________________
- Name of consumer(s): _______________________
- Address of consumer(s): _______________________
- Account email: _______________________
- Date: _______________________
(*) Delete as appropriate.
What happens next
We will acknowledge receipt of your withdrawal by email. If you started using the Service before sending this form, see Section 5 of the Refund & Cancellation Policy regarding loss of the withdrawal right once performance has begun.