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Sample Form for Withdrawal from a Contract

SAMPLE FORM FOR WITHDRAWAL FROM A DISTANCE CONTRACT AND A CONTRACT CONCLUDED OUTSIDE THE TRADER'S BUSINESS PREMISES – Click here to download the document.

(Please fill out and submit this form only if you wish to withdraw from a distance contract or a contract concluded outside the merchant's business premises.)

To: VARGA_TRI, s.r.o., with its registered office at Karola Adlera 1937/6, 841 02 Bratislava – Dúbravka district, Company ID No.: 52380751, registered in Bratislava I, Section Sro, File No. 137654//B, email: varga.academy@gmail.com

I/We* hereby give notice that I/we* am/are withdrawing from the contract for the delivery or provision of this product: ………………………………………………………………………………………………………………………………………………..

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Order date/receipt date:* ……………………………………………………………………………………………………………..

First and last name of the consumer(s):*……………………………………………………………………………………………..

Address of the consumer(s):* …………………………………………………………………………………………………………….

Signature of the consumer(s)* (if this form is submitted in paper form) 

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Date …………………..

* Cross out the incorrect option.