Contract Withdrawal Form

Sample contract withdrawal form

(Please complete this form and send it back only if you wish to withdraw from the contract.)

  

Czech Figure Skating s.r.o.

Lihovarská 1060/12

Praha 9

190 00

 

Notice of Withdrawal from the Contract

 

I hereby give notice that I withdraw from my contract for the purchase of the following Goods:

 

…………………………………………………………………………………………………..............................................................................................

 

Date of Order/Date of receipt of the Goods: ……………………………………………..........................................................

 

Consumer's first and last name: ……………………………………………………………….............................................................

 

Consumer's address: …………………………………………………………………………........................................................................

 

Consumer's signature (only if this form is sent in paper):

 

 

…………………………………...............................................................................

 

Date: …………………...................................................................................