Withdrawal from the contract

Withdrawal from the contract

Seller

INFINITE MedStyle s.r.o.
Třída Edvarda Beneše 1530/70,
500 12, 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.
Třída Edvarda Beneše 1530/70
Hradec Králové
500 12

tel.: +420 702 024 880

 

In  ___________________________________, on __________________