KIVEX Model Withdrawal Form
This form is intended for Consumers. Using it is not mandatory; any clear statement of withdrawal made within the period set by law is sufficient.
This is an English translation provided for convenience. In the event of any discrepancy between the Czech and English versions, the Czech version prevails.
Send your withdrawal to [email protected] or to the following address:
Jakub Macura
Drahanovice 143
783 44
Czech Republic
I hereby give notice that I withdraw from the contract for the provision of the KIVEX service.
Consumer's full name:
........................................................................
KIVEX account e-mail:
........................................................................
Order number or other identifier, if known:
........................................................................
Date the Contract was concluded:
........................................................................
Date the withdrawal was sent:
........................................................................
Consumer's signature (only if the form is sent on paper):
........................................................................
Operator: Jakub Macura, Company ID (IČO) 24359939, Drahanovice 143, 783 44, Czech Republic. Contact: [email protected].
All documents are listed in the legal documents overview.