Contract withdrawal form

Contract withdrawal form

 

(you can fill out and send this form if you, as a buyer, are interested in withdrawing from the contract)

Beneficiary:

Beastland Brick Store

Near Gymnasium 9

940 02 Nové Zámky


e-mail: beastland@beastland.eu

I hereby inform you that I withdraw from the contract for these goods:

  1. a) ………………………………………………………………………………………………..
  2. b) ……………………………………………………………………………………………..
  3. c) ………………………………………………………………………………………………..

Delivery date: …………………………………………………………

Name and surname of the consumer: ……………………………………………………………………………………………….

Address of the consumer: ………………………………………………………………………………………………………………………………

Signature of the consumer (only if this form is submitted in paper form) …………………………………

Order number: * ……………………………………………………………………………………..

Invoice number: * ……………………………………………………………………………………………..

I agree to return funds to bank account number:**

SK…………………………………………………………………………………….

A date ………………………………………………………………

(*) Entering this data is not mandatory, but it can speed up the administration when returning goods.

(**) The account number is given in IBAN format. If the payment was made to the courier, the buyer will be asked to notify the account number for the refund via e-mail, if he does not provide the account number, the funds will be returned to him by postal order to the address indicated in the buyer's user account or in the withdrawal from the contract.