Disclaimer*
Addressee:

Bogár-Alexy Limited Liability Company

(address: 1138 Budapest, Danubius utca 3. 5. em. 6. e-mail: alexythebrand@gmail.com)

I, the undersigned, declare that I exercise my right of withdrawal/termination with respect to the contract for the sale of the following product/s or the provision of the following service:

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................................................... ................................................... ................................................... ............................................

Date of conclusion of the contract / date of acceptance: ............................................. ................................................... ........................

Name of the consumer: .............................................. ................................................... ................................................... .................

Address of the consumer: .............................................. ................................................... ................................................... .................

Please return the purchase price to the following bank account number (fill it in if you want us to pay the purchase price back by bank transfer):

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Signature of the consumer: (only in the case of a statement made on paper)

................................................ Dated.

* made by A 45/2014. (II.26.) government decree no. 2 on the basis of the declaration model according to its annex