Withdrawal form
Notice of withdrawal from the purchase contract
Buyer:
Name and surname ....................................................................................
Address ...........................................................................................................
Phone and email .........................................................................................
Seller:
MACEK a SYN s.r.o., U Pošty 290, 696 02 Ratíškovice, ID: 2558626
Dear Sirs,
On ............... I have concluded a purchase contract with you through your e-shop www.eshop.macekasyn.cz.
Tax document (invoice) number ...........................
I took delivery of these goods on .................................
Since the contract was concluded via the Internet, i.e. a typical means of distance communication, I have decided to exercise my right under the provisions of Section 1829(1) in conjunction with Section 1818 of No. 89/2012 Coll., Civil Code, as amended, and hereby withdraw from the above-mentioned purchase contract.
I withdraw from the contract in its entirety, i.e. I return everything stated on the invoice YES/NO ⃰(delete as appropriate)
⃰(YES = do not list individual goods, NO = list the goods you want to return)
Type of goods ..............................................................................
Brand of item ........................................................................
SN item ..................................................................................
I am sending the goods back to you and at the same time asking you to remit the purchase price including the shipping charges
(shown on the tax receipt) in the amount of ..................Kč, to my bank account no. ................................................,
no later than 14 calendar days after receipt of this withdrawal.
Delivery address: MACEK a SYN s.r.o., Za Mlýnem 1418, 696 02 Ratíškovice.
Location ............................., on ...................
......................................................................
(handwritten signature)
Attachments:
Copy of the purchase document
Downloadable form in PDF/Wordformat
