Widerrufsrecht

CONTRACT WITHDRAWAL FORM

(complete and send this form only if you wish to withdraw from the contract)

PATAK MOTORS, s.r.o.

Šteruská cesta 792/3 922 03 Vrbové
E-mail: info@patakmotors.com

I hereby declare that I am withdrawing from the Reservation Contract for the following goods/services provided:

Vehicle Reservation Contract Invoice nbr.:

................................................................................................................. . Date contract concluded: ................................................................................................................. . Customer‘s name and surname:................................................................................................................. . Customer‘s address:................................................................................................................. . Customer’s signature (only if form submitted in paper form): ............................................ ..................................................................... . Date:

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