{"id":461,"date":"2026-09-15T23:19:45","date_gmt":"2026-09-15T21:19:45","guid":{"rendered":"http:\/\/alchymist-shop.cz.gds227.active24.cz\/?page_id=461"},"modified":"2026-09-17T21:21:21","modified_gmt":"2026-09-17T19:21:21","slug":"contract-withdrawal-request-form","status":"publish","type":"page","link":"https:\/\/alchymist-shop.cz\/en\/contract-withdrawal-request-form\/","title":{"rendered":"Contract Withdrawal Request Form"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">If you are a consumer, you have the right to withdraw from a contract concluded online within 14 days of receiving the goods, without giving any reason. Please complete and submit the form below. We will confirm receipt of your request by email without undue delay *.<\/p>\n\n\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_4_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_contact-formbbf89d3a3c89d7c623db2\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Withdrawal<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"4\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_4\" id=\"frm_hide_fields_4\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"contact-formbbf89d3a3c89d7c623db2\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"3cca0802f9\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/461\" \/><div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_qh4icyd964c0b8cf95d9f22f0b2\" id=\"field_qh4icyd964c0b8cf95d9f22f0b2_label\" class=\"frm_primary_label\">Full Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qh4icyd964c0b8cf95d9f22f0b2\" name=\"item_meta[22]\" value=\"\"  data-reqmsg=\"Full Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\" aria-describedby=\"frm_desc_field_qh4icyd964c0b8cf95d9f22f0b2\"  \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_qh4icyd964c0b8cf95d9f22f0b2\">First<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n    <label for=\"field_29yf4dd26dbfacd5fd3dae19b62\" id=\"field_29yf4dd26dbfacd5fd3dae19b62_label\" class=\"frm_primary_label\">Email Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_29yf4dd26dbfacd5fd3dae19b62\" name=\"item_meta[23]\" value=\"\"  data-reqmsg=\"Email Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_7ugqs2dc4cf9e647f182ee1d42\" id=\"field_7ugqs2dc4cf9e647f182ee1d42_label\" class=\"frm_primary_label\">Phone Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_7ugqs2dc4cf9e647f182ee1d42\" name=\"item_meta[24]\" value=\"\"  data-reqmsg=\"Phone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_25_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_siswb2\" id=\"field_siswb2_label\" class=\"frm_primary_label\">Consumer address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_siswb2\" name=\"item_meta[25]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_26_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_1u6cp2\" id=\"field_1u6cp2_label\" class=\"frm_primary_label\">Order Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1u6cp2\" name=\"item_meta[26]\" value=\"\"  data-reqmsg=\"Order Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_yt74o2\" id=\"field_yt74o2_label\" class=\"frm_primary_label\">Date of Receipt\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_yt74o2\" name=\"item_meta[27]\" value=\"\"  data-reqmsg=\"Date of Receipt cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_28_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_4icc62\" id=\"field_4icc62_label\" class=\"frm_primary_label\">Product(s) to be Returned\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_4icc62\" name=\"item_meta[28]\" value=\"\"  data-reqmsg=\"Product(s) to be Returned cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_29_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_s9hhj2\" id=\"field_s9hhj2_label\" class=\"frm_primary_label\">Bank Account Number \/ IBAN\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_s9hhj2\" name=\"item_meta[29]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_31_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_n1ka92\" id=\"field_n1ka92_label\" class=\"frm_primary_label\">Additional Information\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_n1ka92\" name=\"item_meta[31]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_30_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_nq99z2_label\" class=\"frm_primary_label\">Agreement\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_nq99z2_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_30-0\">\t\t\t<label  for=\"field_nq99z2-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[30][]\" id=\"field_nq99z2-0\" value=\"I agree to the processing of my personal data for the purpose of handling my withdrawal request in accordance with the Privacy Policy\"  data-reqmsg=\"Agreement cannot be blank.\" data-invmsg=\"Agreement is invalid\"   aria-required=\"true\"  \/> I agree to the processing of my personal data for the purpose of handling my withdrawal request in accordance with the Privacy Policy<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_32_container\" class=\"frm_form_field form-field  frm12 frm_first\">\r\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Send Withdrawal from contract<\/button>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_35_container\">\n\t\t\t<label for=\"field_718yr\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_718yr\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[35]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"oOOwjTZFnjHL2BPeJcrbuqB3PIg\/mAMgt6t8X\/yQvYU=\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Other Ways to Exercise Your Right of Withdrawal<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In addition to using this form, you may also submit your withdrawal from the contract by email to info@alchymist-shop.cz or by post to:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Alchymist, s.r.o.<br>Vla\u0161sk\u00e1 24<br>118 00 Prague 1<br>Czech Republic<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Upon receiving your notice of withdrawal, we will send you a confirmation of receipt without undue delay.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The purchase price will be refunded without undue delay and no later than within the period required by applicable law, using the same payment method that was used for the original transaction, unless otherwise agreed. Alternatively, the refund may be sent to the bank account provided in this form.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have any questions, please contact us at&nbsp;<a href=\"mailto:info@alchymist-shop.cz\">info@alchymist-shop.cz<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you are a consumer, you have the right to withdraw from a contract concluded online within 14 days of receiving the goods, without giving any reason. Please complete and submit the form below. We will confirm receipt of your request by email without undue delay *. Other Ways to Exercise Your Right of Withdrawal [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-classic.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-461","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Contract Withdrawal Request Form - Alchymist Shop<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alchymist-shop.cz\/en\/contract-withdrawal-request-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Contract Withdrawal Request Form - Alchymist Shop\" \/>\n<meta property=\"og:description\" content=\"If you are a consumer, you have the right to withdraw from a contract concluded online within 14 days of receiving the goods, without giving any reason. 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