Cancellation form

Cancellation form
(If you want to cancel the contract, please fill out this form and send it back.)
- To
Chilli Manufaktura s.r.o.
Priamyselná 8
SK-94651 Nesvady
E-mail shop@chillimanufaktura.eu :
- I/we hereby cancel the contract concluded by me/us
for the purchase of the following goods
_____________________________________________________________________________/
the provision of the following service.
-Ordered on ___________/received on ___________
-Name of the consumer(s) ____________________________
-Address of the consumer(s) ______________________________
- Signature of the consumer(s)
_______________________________________
- Date
_______________
Delete as appropriate.