Right to withdrawal from contract

Withdrawal form

Name of Seller: VLNAP, a.s.
Seller's registered office: Nejdek, Karlovarsk√° 1342, 36221
00013111
Website of the e-shop:
Seller's email address: zp@vlnap.cz
Seller's phone number: 353162339

I hereby give notice that I withdraw from the following contract within the statutory period of 14 days:

Order number:
Tax document number:
Name and code of the goods:
Date of ordering the goods (conclusion of the purchase contract):
Date of receipt of goods:

Buyer's name and surname:
Buyer's residence:
Buyer's email address:
Buyer's contact phone:
Purchase price was paid by:
I request a refund of the purchase price in the following manner: (account number)
Reason for withdrawal: (not necessary to fill in)



At .................................. on ........................

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Signature (if sent in hard copy)