WITHDRAWAL FROM THE PURCHASE CONTRACT
Withdrawal from the purchase contract
Fill out this form and send it back to the seller only if you want to withdraw from the purchase contract.
recipient: Top Crystal Trade s.r.o.
Príkop 838/6
602 00 Brno, Czech Republic
Company ID: 04896602
Case number: C 92483
Registered by the Regional Court in Brno
I declare that I am withdrawing from a distance purchase contract signed for the purchase of these goods:
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Ordered on your e-shop www.top-crystal.com
Under Order Number: .... ..................... ...
Date of order:
Name and surname of the buyer:
Account number (IBAN) for return of the purchase price: ......................... / ...., SWIFT code ........, Name of the bank
Buyer's address:
Buyer's signature:
Date: