Withdrawal from the contract
Withdrawal from the contract
Seller
INFINITE MedStyle s.r.o.
Svatojánská 678,
500 11, Hradec Králové
IČO: 07770634
VAT number = DIČ: CZ07770634
I, the undersigned _________________________________________________, address _________________________________________________________________, date of birth ________________________,
I received from you based on order no. ________________________ ordered the following goods:
_____________________________________________________________ for the purchase price ________________ EUR,
_____________________________________________________________ for the purchase price ________________ EUR,
_____________________________________________________________ for the purchase price ________________ EUR,
_____________________________________________________________ for the purchase price ________________ EUR,
_____________________________________________________________ for the purchase price ________________ EUR.
So overall for the purchase price ______________________________ including / without (delete as applicable) VAT.
I received the goods on ________________.
I hereby withdraw from the above purchase agreement.
Return the purchase price to bank account no. _________________
I send the goods intact in the original packaging to the address:
INFINITE MedStyle s.r.o.
Svatojánská 678
Hradec Králové
50011
tel.: +420 774 950 147
In ___________________________________, on __________________