Contract termination form

(complete this form and send it back only in case you want to terminate the contract)

Contract termination notice

- Addressee E.Mi - International s.r.o.

                   Štefánikova 203/23

                   150 00 Prague 5 - Smíchov


- I declare/we declare (*) that hereby I/we (*) terminate the purchase contract of the following goods:

 - Date of order (*)/date of receipt (*)

- Name and Surname of the consumer/consumers

- Consumer's/consumers' address

- Consumer's/consumers' signature (only when sent in hard copy)

- Date

(*) Strike out the inapplicable


Contract termination form