Contract withdrawal form

If you wish to withdraw from the contract within the statutory 14-day period, please fill out the following form.

The completed form must be printed, signed, and included in the package with the returned goods.

Download the form in .docx format: Contract Withdrawal Form

 

Sender:
Name and Surname:
Address:
Email, Phone number:

Recipient:
Seller: Janusherbs s.r.o.
Company ID (IČO): 21149992
Contact address: Na Pavelce 79, 763 14 Zlín
Phone: +420 603 141 669
Email: info@canushka.cz

 

NOTICE OF WITHDRAWAL FROM PURCHASE CONTRACT

On __________ I ordered the following goods on your website/in the online store available at “www.canushka-eshop.cz”: _____________________________________,
Order number: ________________,
with a value of _______________ CZK.
I received the ordered goods on ____________.

Based on the provisions of § 1829 paragraph 1 in connection with § 1818 of Act No. 89/2012 Coll., the Civil Code, I hereby exercise my statutory right and withdraw from the purchase contract concluded via the internet concerning the goods _______________________________________________________________________.

With this letter, I am returning the goods to you and at the same time request a refund of the purchase price in the amount of _____________ CZK to my bank account number

___________________/

no later than 14 days from the delivery of this withdrawal notice (provided the goods are returned simultaneously).

The buyer acknowledges that the seller is not obliged to refund the purchase price if the goods are not returned within 14 days from the delivery of the withdrawal notice or if the buyer does not prove that the goods were sent to the seller within the 14-day period.

The buyer also acknowledges that the costs necessary to return the goods to the seller shall be borne by the buyer as part of the withdrawal from the contract.

Attachments: 1. Proof of purchase of the goods¹

Name and surname of consumer:

In ____________________, on ___________.

Signature:

 

¹ Please attach the invoice proving the purchase of the goods

 

 

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