Contract withdrawal form

Sample withdrawal form

(fill in this form and send it back only if you want to withdraw from the contract)

WITHDRAWAL NOTICE

Addressee: Zdzisław Krajewski, ID: 62744763, warehouse Bystřická 44, 417 31, Novosedlice, acting as SCARLETT.CZ

!!!send only to the given address!!

 

I/we* hereby withdraw from the contract for the purchase of these goods:

 

 

Date ordered: Please fill in the date.

Order Number:

Date received (date I received the goods): Please fill in the date.

Your name and surname:

Your address:

attach your signature: _____________________

 

Date: Please fill in the date.