If you wish to cancel the contract, please complete and return this form.
1) Recipient
Laedi Ortho AG, Amlehnstrasse 22, 6010 Kriens, Switzerland
E-mail: contact@laediortho.ch
2) Your details
I /We (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*) / the provision of the following service (*):
a) ordered on (*) / received on (*)
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b) Customer name
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c) Customer address
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d) Signature (only for communication on paper)
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e) Place and date
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(*) Please delete where inapplicable.
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