Withdrawal from the contract

WITHDRAWAL FROM THEPURCHASE CONTRACT

First name, surname, title: .........................................................................................
Domicile: .........................................................................................
Phone number / e-mail: .........................................................................................
(hereinafter referred to as"the consumer")
in accordance with the provision of §8 and following Act No. 102/2014 Coll. as amended, hereby I withdraw from thepurchase contractconcluded withFarmárik, s r.o. company registered office Bolešov 448, 01853 Bolešov, Slovakia, ID No.: 36745057, tax ID No: 2022335249 (hereinafter referred to as"the seller").

Hereby, the consumerreturns the seller the purchased products within 14 days according to the following data:
Order number and invoice number: .................................................................................................
Ordering date (invoicing date): ..........................................................................................................
Date of receiving the goods: .................................................................................................................
Productsreturned by the consumer (exact designation and code ofthe goods):
...........................................................................................................................................................................
............................................................................................................................................................................

The consumerreturned the productat the place of personal pickup: ...............................
Date of taking over the product by the shop or e-shop employees: .....................................
The productwas delivered to the seller´s address by the following forwarding agent:
.............................................................................................................................................................................

Reason for returning the product (optional information):...............................................................................................................................................................................
...............................................................................................................................................................................

According to § 10 clause 4 of Act No. 102/2014 Coll. as amended,the selleris entitled to demand from the consumera reimbursement ofreduction of valueof the goodsthat has occurred because of such manipulation withthe goods which is beyond the treatment necessary to determine the properties and functionality of the goods.

Please, return the money by postal order to the above address:...............................................
Please, return the money on account: ....................................................................................................

Detailedinformationhow to return the goods and to withdraw from the contract are mentioned in theGeneral Trade Terms and Conditions, Article VIII.

The consumerand the sellerconfirm the correctness of data by their signatures.

In ..................................., on ................................., the consumer´s signature ............................................
In ..................................., on ................................., the seller´ssignature .....................................................