Form for withdrawal

FORM FOR WITHDRAWAL FROM CONTRACT

Address

Web page: appumbrella.online

Company: APP.UMBRELLA, a.s.

Address: PRAHA 4, Antala Staška 1859/34, 140 00

IC/Tax IC: 018 55 867

Email address: reclamation@appumbrella.online

(fill out this form and send it back only if you wish to cancel the contract. The form must be printed, signed and scan sent to the email address mentioned above).

I hereby declare that I am withdrawing from the contract of the registration for the product appumbrella.online.

Date of order:

Order number (VS):

Bank account: SWIFT:

Bank: Bank code:

Name and surname of client:

Address of client:

Email: Telephone:

In Day:


______________________________________

Name and surname of client

 

App.Umbrella

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