(Please complete this form only if you wish to withdraw from the purchase contract.)

Recipient

CollectorPick s. r. o.
Zimná 3235/8
058 01 Poprad
Slovak Republic
Company ID No.: 56 919 123

E-mail: info@collectorpick.com or info@collectorpick.sk

The terms and conditions for withdrawal from the contract are set out in the Terms and Conditions available on the website:
https://collectorpick.com/terms-and-conditions

I hereby notify you that I withdraw from the purchase contract concluded through the CollectorPick online store.

Product name: _______________________________________________

Order number: _______________________________________________

Invoice number: ______________________________________________

Date of order: _______________________________________________

Date of receipt of the goods: _________________________________

Consumer's full name: ________________________________________

Consumer's address: _________________________________________

Telephone / E-mail: __________________________________________

IBAN for refund (only if you wish the refund to be made to a different bank account than the one used to pay for the order):

Reason for withdrawal (optional):

Date: ______________________________

Consumer's signature: ______________________________