WITHDRAWAL FORM FOR DISTANCE AND OFF-PREMISES CONTRACTS
(Please complete and return this form only if you wish to withdraw from a distance or off-premises contract.)
– To: VR Master s. r. o., Odbojárov 2559/7, Michalovce 071 01, Slovak Republic
– I/We hereby give notice* that I/We withdraw from the contract for the supply or provision of this product: …………..
– Date ordered/date received* …………..
– Name and surname of the consumer(s)* …………..
– Address of consumer(s)* …………..
– Signature of consumer(s)* (if this form is submitted in paper form) …………..
– Date …………..
-If you wish to send money to a bank account, please indicate its number………………………………………………………………………………………………….
* Strike out those that are not applicable