Cancellation form

(If you want to cancel the contract, please fill out this form and send it back.) 

Luca Vertriebs GmbH
Berliner Allee 65
64295 Darmstadt

Fax: +49 (0)6151 3975 111
or use our contact form


I hereby revoke the contract concluded by me for the purchase of the following goods.


- Ordered on/received on


- Customer Name


- Order Number


- Signature


- Date