Contract withdrawal form

r> Contract withdrawal form

Before filling out the form, please first select the date of receipt of the goods.
If you have not yet received the goods, fill in the current date.

Date of receipt*

HELMA 365, s. r. o.

Nademlejnská 600/1

190 00 Praha 9

Česká republika

I hereby give notice that I withdraw from my contract of sale of the following goods*

Calculate: "three times five" (digit):*

* Fields marked with an asterisk are mandatory.

Withdrawal from Contract Form