Withdrawal

Sender:

Name and surname:
Address:
Email:
Phone number:

Recipient:

Seller: (company name)

Company ID:

Registered address:

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Notice of withdrawal from the purchase contract

On the date of ………….., I placed an order for the following product(s) on your website ………….. with order number ………….. in the amount of ………….. € incl. VAT. The product(s) were delivered to me on ……………

Based on § 1829(1) in conjunction with § 1818 of Act No. 89/2012 Coll., Civil Code, I hereby exercise my legal right to withdraw from the distance purchase contract for the above-mentioned goods. I am returning the products and request a refund of the amount ………….. € incl. VAT to my bank account number ………………………. no later than 14 days from receipt of this notice.

In ………….. on the date of ……………

Name and surname of the customer:

……………………….

(signature)