Model withdrawal form

To: VetLINE, s. r. o., Staromestská 6/D, 811 03 Bratislava, IČO 43 868 665, e-mail info@vetline.sk

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

Order number:
………………………………………………

Ordered on/received on*:
………………………………………………

Name of consumer(s):
………………………………………………

Address of consumer(s):
………………………………………………

Bank account for the refund if you paid in cash (IBAN):
………………………………………………

Signature of consumer(s)* (only if this form is notified on paper):
………………………………………………

Date:
………………………………………………

* Delete as appropriate.