WITHDRAWAL FORM
fill in and send this form only if you want to withdraw from the contract
Whom
Name / Business name:
Address:
ID:
phone:
e-mail:
I hereby declare that I withdraw from the contract for the following goods / from the contract for the provision of this service:
Order number*:
Order date *:
Date of acceptance*:
Name / Business name *:
Buyer's address *:
I would like to return the amount for the returned goods / service *:
to a bank account / IBAN /: SK
by check to:
A date*:
Buyer's signature:
(only if this form is submitted in paper form)
* mandatory information