Contract withdrawal form

SAMPLE to download here :

Addressee: VBB & Partners sro Zbraslavská 12/11, Prague 5 - Malá Chuchle, 159 00,

I hereby declare that I withdraw from the Agreement:

Date of conclusion of the Agreement:

Order number

Name and surname:

Address:

E-mail address:

Specifications of the goods covered by the Agreement:

Bank account numbers for n and return of funds received :

Return address: VBB & Partners s.r.o. , Sadová 992, Votice 25901 (place for receiving returned goods)

Date:

Signature: