WITHDRAWAL DECLARATION

(Please only fill out if you intend to withdraw from the contract.)

1. In case you intend to withdraw, please fill in this declaration in BLOCK CAPITALS.
2. Package the product(s) carefully. Include the original, filled-out copy of this declaration and your purchase invoice in this package, and ship it to the following address:

Recipient: Közép- és Kelet-európai Történelem és Társadalom Kutatásáért Alapítvány, Terror Háza Múzeum Könyvesbolt, 1062 Budapest, Andrássy út 60.

We shall refund the price of product(s) shipped back in perfect condition within 14 days of delivery. Should you have any queries, do not hesitate to e-mail us at konyvesbolt@terrorhaza.hu.

I, the undersigned, hereby state that I exercise my right of withdrawal regarding the contract on the sale of the following product(s):

Your name (Customer): ……………………………………………………………………………….

Your address (Customer): ……………………………………………………………………………….

Your e-mail address and phone number (Customer): ……………………………………………………………………………….

Number of the invoice related to the order: ……………………………………………………………………………….

Date of receiving the product(s): ………………………………………………………………

Reason for withdrawal^[1]: …………………………………………………………………………………………

I wish to receive the refund for the sum total of the purchase on the following bank account number:

Name of account holder: ……………………………………………………………………………….

Bank account number: …………………………………………………………………………………

Name of bank: ……………………………………………………………………………………

Dated: …………………………………….

__________________________________

Signature of the customer

[1] Not obligatory!