Machine Translated by Google

Legally Binding Statement - Missing Delivery

Name: First name:

Street: House number:

Postal code: Residence:

The package shipment to the order number:

With the tracking number:

ÿ I have not received

ÿ I received incomplete

The following items were missing:

Item number:

Item number:

Item number:

Item number:

Item number:

Item number:

Item number:

Item number:

Item number:

Place and date: Signature:

If you have any questions, we are at your disposal.

You can reach us on our hotline: 0800 330 09 95 (free of charge from the DTAG landline) from
Monday to Friday (7 a.m. to 8 p.m.), or by email to service@zalando-lounge.de.

Lounge by Zalando c/o Registered at: District Court of Charlottenburg, HRB 158855 Board of
Zalando SE Directors: Robert Gentz & David Schneider (both Co-Chairmen), Dr. Astrid Arndt, Dr.
Valeska-Gert-Strasse 5 Sandra Dembeck, David Schröder Chairman
10243 Berlin of the Supervisory Board: Kelly Bennett ÿ Headquarters: Berlin
Germany WEEE Reg. No. EN: 72754189