ASSORTMENT GROUPS

Sale New
Total depict
Lodičky
Dámská společenská obuv
Mokasínky, balerínky
Dámské polobotky
Dámské sandály
Kotníkové boty
Dámské kozačky
Sneakersy
Dámský celorok
Reflexan
DEX Comfort
Pánská obuv

SEARCH

 
  Search filter Filter is off. ACTIVATE / DEACTIVATE FILTER - Keyboard shortcut "5".

CONTACTS

 
DERMATEX, spol. s r. o.
Rostislavova 23
140 00 Praha 4
ČR

Tel:  +420 261 009 710
Fax: +420 261 009 720

 
   

WITHDRAWAL FROM THE CONTRACT FORM

     
 
Withdrawal from the contract form

(Fill in this form and send it only if you with to withdraw from the contract)

-----------------------------------------------------------------------------------------------------------------------
Withdrawal from the contract notice

- Recipient: DERMATEX, spol. s r. o., Rostislavova 23, 140 00 Praha 4


- I/We (*) wish to inform you that I/We (*) hereby withdraw from the contract for the following goods (*):


- Order date (*)/Date of delivery (*):


- Document number (order/delivery note/invoice (*)):


- First name and surname:


- Customer Address:


- Customer signature (only if you send this form by post):


- Date:


(*) Choose the correct option or add any necessary information
 
     
 

CART

0,00 CZK incl.VAT Cart. Keyboard shortcut "2".

Login

Password