Model withdrawal form
If you wish to use the prescribed model withdrawal form, you can download it as a PDF, complete it and send it to us following the instructions below.
How to use the form
- Download the PDF.
- Fill in the prescribed details. A signature is required only if you complete the form on paper.
- Send it to the email address lakrisactivebrand@gmail.com or by post to the registered seat: Ul. admirala Jakova Šubića od Cezana 16, 23000 Zadar, Croatia.
- Keep a copy for your records. We send the acknowledgement of receipt by email.
The text of the form
Read the prescribed text of the form
PRIMJERAK OBRASCA O JEDNOSTRANOM RASKIDU
1. Ime, prezime i adresa potrošača ____________________
2. Prima [ovdje trgovac unosi svoj naziv i sjedište, te broj telefona, adresu elektroničke pošte ili broj telefaksa]:
LAKRIS ACTIVE BRAND j.d.o.o. za trgovinu
Ul. admirala Jakova Šubića od Cezana 16, 23000 Zadar, Croatia
Email address: lakrisactivebrand@gmail.com
Telefon: +385 91 617 5159
3. Ja _____________________ ovim izjavljujem da jednostrano raskidam Ugovor o prodaji sljedeće robe/za pružanje sljedeće usluge (odabrati)_________________, naručene/primljene dana ______________________
– potpis potrošača (samo ako se ovaj obrazac ispunjava na papiru),
– datum.
„Primjerak obrasca za jednostrani raskid ugovora koji se nalazi na našoj mrežnoj stranici možete elektronički ispuniti i poslati.”
„Potvrdu primitka obavijesti o jednostranom raskidu ugovora dostavit ćemo Vam, bez odgađanja, elektroničkom poštom.”
The form is prescribed in Croatian and is published here in Croatian. The English rendering below it is an unofficial courtesy translation and has no legal force; the Croatian text is the one that applies.
MODEL WITHDRAWAL FORM
1. Name, surname and address of the consumer ____________________
2. To [the trader enters here its name and registered seat, and its telephone number, email address or fax number]:
3. I _____________________ hereby give notice that I withdraw from the Contract of sale of the following goods / for the supply of the following service (select) _________________, ordered / received on ______________________
– signature of the consumer (only if this form is completed on paper),
– date.
The text of the form is reproduced verbatim from the regulation and is not adapted to our workflow.
Source of the text: Pravilnik o sadržaju i obliku obavijesti o pravu potrošača na jednostrani raskid ugovora sklopljenih na daljinu i ugovora sklopljenih izvan poslovnih prostorija, Narodne novine 117/2022, Annex I, Part II.
For printing, download the PDF: it is set for A4 and stays legible in black and white.