Withdrawal form

Form for withdrawal from the purchase contract within 14 days of purchase of the product(s)

Seller : KUBIsport

Nádražní 92

513 01 Semily

e-mail: obchod@kubisport.cz

tel. 777 219 420

I exercise my right and withdraw from the purchase contract for the purchase of goods within 14 days:

order number: .................................................................................................

tax receipt number: ..................................................................................

date of ordering the goods: ....................................................................................

I withdraw from the purchase of the products listed : ...........................................................................................................................................................................

...............................................................................................................................................................................................................................................................

..............................................................................................................................................................................................................................................................

date of delivery of goods: ................................................................................................

Name: .......................................................................................................

consumer's address: ...................................................................................................

account number for refund: ..................................................................................

................................................... .......................................................................

place and date signature of the consumer