Purchase Contract Withdrawal Form
Adress: Anežka Polesná
Registered office address: Verdunská 983/29, Praha 6, 160 00
Identification number: 09667946
Phone number: +420 731 903 601
E-mail: studio@anezkajuhova.cz
I hereby declare that I withdraw from the purchase contract:
Date of conclusion of the Agreement: |
|
Name and surname: |
|
Address: |
|
Email address: |
|
Specifications of the goods covered by the contract: |
|
The way to return the funds received, or to indicate the bank account number: |
|