Model withdrawal form

Model withdrawal form

(Complete and return this form only if you wish to withdraw from the contract.)

To: NAZVA s. r. o., Topoľčianska 4083/24, 851 05 Bratislava - mestská časť Petržalka, Slovak Republic, e-mail: support@nazva.eu

I/We () hereby give notice that I/We () withdraw from my/our () contract of sale of the following goods () / for the provision of the following service (*):

Ordered on () / received on (): ________

Order number: ________

Name of consumer(s): ________

Address of consumer(s): ________

Signature of consumer(s) (only if this form is notified on paper): ________

Date: ________

(*) Delete as appropriate.