Notice of withdrawal from the contract

Addressee:

Lázně Luhačovice, a.s., settled in Lázeňské nám. 436, 763 26 Luhačovice,
ID no.: 46347828, registered i the Regional Court in Brno, Section B, Insert 809

Name and surname of the customer/customers:

Address of the customer/customers:

I/We hereby give a notice that I/we withdraw from the contract of the stay provision

Stay:

Start day:

in accordance with the General Terms and Conditions 

and the Cancellation Policy. 

Date:

Signature of the customer/customers: