Prawo do odstąpienia od umowy

Withdrawal form

(This form must be completed and returned only if you wish to withdraw from the contract)

Addressee
MAZAK Sp. z o.o.
Wojska Polskiego Street 38Głogów
Małopolski 36-060, Poland

I/We(*) hereby inform(*) about my/our withdrawal from the contract of sale of the following items(*
)contract of delivery of the following items(*) contract of work consisting in the performance of the following items(*)/provision ofthe following

service(*):

1..................................................................................................................
2..................................................................................................................
3..................................................................................................................
4..................................................................................................................
5..................................................................................................................

Please return the cash to the bank account: ( providing data is optional )

bank name: .................................................................................................

Date of contract(*)/receipt(*)

....................................................................................................................

Consumer's signature and date
(only if the form is sent in hard copy)

(*) Delete unnecessary.