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                          Cancellation form

                          Cancellation form

                          If you wish to cancel the contract, you can use this form. Please fill it out and send it to:

                          iCORD LC s.r.o.

                          Jinonická 80

                          Prague 5, 158 00

                          Czech Republic

                          E-mail:

                          info@beapura.com

                          I hereby revoke within the statutory period the contract concluded by me for the purchase of the following goods:

                          _____________________________________________________________________________________________

                          _____________________________________________________________________________________________

                          _____________________________________________________________________________________________

                          _____________________________________________________________________________________________

                          Ordered on or received on: ______________________________________________________________________

                          Name of the consumer(s): _______________________________________________________________________

                          Address of consumer(s): ________________________________________________________________________

                          _____________________________________________________________________________________________

                          Invoice or order number: ________________________________________________________________________

                          Bank details (IBAN and BIC): _____________________________________________________________________

                          _____________________________________________________________________________________________

                          Date _________________

                          Signature of the consumer(s) (only for paper communication)

                          ___________________________________________________________________________


                           

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