Contract withdrawal form

WITHDRAWAL FORM FOR A DISTANCE CONTRACT AND A CONTRACT CONCLUDED AWAY FROM THE TRADER'S BUSINESS PREMISES

https://www.biovoxel.tech/

(Complete and return this form only if you wish to withdraw from a distance contract or from a contract concluded away from the trader's business premises.)

 

1.To: Biovoxel Technologies s.r.o., Kamenná 3, 841 10 Bratislava, Slovakia

 

2.I/We* hereby give notice that I/we* withdraw from the contract for the supply or provision of the following product:

 

3.Date of order/date of receipt*:

 

4.Name and surname of the consumer(s)*:

 

5.Address of the consumer(s)*:

 

6.Signature of the consumer(s)*

(only if this form is submitted on paper):

 

7.Date:

 

8.If you wish the money to be sent to a bank account, please state its number:

 

 

* Delete as appropriate