(Fill in this Form and send it back only if you want to withdraw from the contract. The Form has to be printed, signed and sent scanned to the e-mail address below and/or attached to the shipment with returned goods).
Addressee: CCF s.r.o., Santražiny 575, 760 01 Zlín
E-Shop: pantovital.com
Company: CCF s.r.o.
Address for sending: Santražiny 575, 760 01 Zlín
Company ID/VAT No.: IČ 26890771, DIČ CZ26890771
E-mail address: info@pantovital.com
Phone number: +420 571 623 624
I declare that I hereby withdraw from the purchase contract of the following goods:
- Date of ordering:
- Order number:
- The funds for ordering and/or even for delivery, have been sent in the manner
and will be returned in the manner (in case of transfer to the account, please send the account number) - Name and surname of the consumer:
- Consumer address:
- E-mail:
- Tel.:
In (fill-in the place here), on (fill-in the date here)
(signature)
______________________________________
Name and surname of the consumer