Autometal’s Online Store
WITHDRAWAL FROM THE CONTRACT FORM
Withdrawal from the contract form

(Fill in this form and send it only if you with to withdraw from the contract)



Withdrawal from the contract notice

- Recipient: Autometal, spol. s r.o., Zalužany 99, 262 84 Zalužany


- I/We (*) wish to inform you that I/We (*) hereby withdraw from the contract for the following goods (*):


- Order date (*)/Date of delivery (*):


- Document number (order/delivery note/invoice (*)):


- First name and surname:


- Customer Address:


- Customer signature (only if you send this form by post):


- Date:


(*) Choose the correct option or add any necessary information