Model withdrawal form
Last updated: 2026-09-28
You can withdraw from your purchase within 30 days of delivery without giving a reason. Using this form is optional: an email or a letter saying you withdraw is enough.
The form
Complete and return this form only if you wish to withdraw from the contract.
To: Lumora Home LLC, 1 Example Way, Reno, NV 89501, USA, help@example.com
I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*):
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.
Where to send it
By email: help@example.com.
By post: Lumora Home LLC, 1 Example Way, Reno, NV 89501, USA.
It is enough to send it before the withdrawal period ends. Please add your order number so we can find the order quickly.