Sample withdrawal form – FlexCom Kommunikációs Kft.

Model Withdrawal Form*

To: FlexCom Kommunikációs Kft.

Address: Hungary, 2151 Fót, Móricz Zsigmond út 45.

E-mail: info@gpstrackershop.eu

I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods / for the provision of the following service:

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Date of order / Date of receipt: __________________________________________________________________________________________________

Name of consumer(s): ___________________________________________________________________________________

Address of consumer(s): ___________________________________________________________________________________

I request the purchase price to be refunded to the following bank account (please fill out if you wish the refund to be made via bank transfer):

__________________________________________________________________________________________________

Signature of consumer(s): (only if this form is notified on paper)

______________________

Date: ______________________

*Prepared based on the model withdrawal form in Annex 2 of Government Decree 45/2014 (II.26.).