Sample withdrawal form

WITHDRAWAL FORM FOR A DISTANCE CONTRACT AND A CONTRACT CONCLUDED OUTSIDE THE TRADER’S BUSINESS PREMISES

www.savon.sk

(Complete and send this form only if you wish to withdraw from a distance contract or a contract concluded outside the trader’s business premises.)

– To: SAVON care s.r.o., Šancová 6, 90201 Pezinok, Slovakia

– I/We hereby give notice* that I/we withdraw* from the contract for the supply or provision of the following product: ..............

– Date of order/date of receipt* ..............

– Name and surname of consumer(s)* ..............

– Address of consumer(s)* ..............

– Signature of consumer(s)* (only if this form is submitted in paper form) ..............

– Date ..............

– If you wish the refund to be sent to a bank account, please provide the account number:
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• Delete as appropriate.