Contract Withdrawal Form
for the www.pow.sk e-shop
(only complete and send this form if you wish to withdraw from a contract)
– Recipient: Mário Harman – www.pow.sk, Záhradnícka 698/38, 920 41 Leopoldov, Slovak
Republic
– I/We* hereby withdraw from the contract for these goods or contract for the provision of a
service*:
– Date of order/date of receipt*:
– Name and surname of the consumer/consumers*:
– Address of the consumer/consumers*:
If you wish to have your payment refunded to a bank account, please provide the IBAN
number:
– Signature of the consumer/consumers* (only if this form is sent to the Seller in written
form)
.......................................
– Date:
*Cross out the option which does not apply.