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Product return form

This form is only sent back completed if you wish to withdraw from the contract.
Before completing the form below, please make sure that the product you wish to return meets the return requirements. You can review them here.

I hereby inform you of my withdrawal from the contract of sale of the following goods:

Fields with * are required.

Returned good (code, name, quantity):*

Order date / Receive date / Invoice (number and date):*

Reason for return (optionally):

Name and surname of the consumer:*

Consumer address:*

Telephone:*

E-mail:*

Dispatching options:* by courier (the consumer pays for the return of the products by courier)personally, at the company address

Payment return options:* the initial payment methodby bank transfer to your account

If you opted for a refund in your bank account, please fill in

the account and bank name:

Security code: