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Withdrawal from Contract 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.
BUPOSPOL s.r.o.
Vrbenská 511/25a
370 01  České Budějovice
Česká republika
I hereby give notice that I withdraw from my contract of sale of the following goods*

* Fields marked with an asterisk are mandatory.
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