Form - Withdrawal from contract

Form - Withdrawal from Contract in PDF format to download  HERE

(complete the form and send it back solely in case you wish to withdraw from the contract. The form must be printed, signed, and sent scanned to the below e-mail address, potentially insert it in the delivery with returned goods).

Addressee
Internet shop:                                www.HiSModel.com

Company:                                      Radimír Beseda

With the registered office at:         B. Nikodéma 4476/15, 708 00 Ostrava, Czech Republic

CRN / Tax ID:                               04581954 / CZ6207291640

Email address:                               message@hismodel.com
Telephone number:                        00420 736 643 287

 

Sender – The customer withdrawing from the contract

I declare I herewith withdraw from the contract on the purchase of goods and the provision of the services:
Order No.:
Date of goods/ services order:
Date of goods/ services reception:
Name and surname of the consumer:
Address of the consumer:
E-mail:
Telephone:

The list of goods and services for withdrawal from the contract:

Katalogové číslo
Catalogue Number

Výrobek
Product

Množství
Quantity

Cena celkem s DPH
Total price VAT incl.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In                                     On

 

               (signature)
______________________________________

   Name and surname of the consumer

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Radimír Beseda - HiSModel.com
B. Nikodéma 4476/15
708 00 Ostrava
Czech Republic

Identif. number: 04581954
Tax indentity: CZ6207291640

mobil: +420 736 643 287

email: message@HiSModel.com

web: www.HiSModel.com

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