Withdrawal form

Notice of withdrawal

Addressee:
VASSA SPIRIT s.r.o., Company ID: 06962971, Na Folimance 2155/15, Prague 2, 120 00

I hereby announce that I hereby withdraw from the purchase contract concluded with VASSA SPIRIT s.r.o., the subject matter of which was the purchase of the following goods:

First and last name of buyer-consumer:

Buyer-consumer address:

Order Number:

Date of order:

Date of receipt of goods:

The purchase price shall be refunded by bank transfer to:

Buyer’s signature and date: