Place, date
I hereby declare that, in accordance with Article 27 of the Act of May 30, 2014 on consumer rights, I withdraw from the contract No. ..................., concluded on .................... concerning the purchase of goods ...................................................
Please return the amount .................. to the bank account number:
...........................................................................................................................
....................................................
consumer's signature
Place, date
I hereby notify that the purchased by me on ................ the goods are inconsistent with the contract (defective). The defect consists in .........................................................................
..................................................................................................................................................................................
Order number (available after logging in or in the order confirmation email) ............................................................................................................................................................
The defect was found on ............................. . In view of the above, based on the Law of May 30, 2014 on Consumer Rights:
- I demand that the goods be repaired free of charge
- I demand a replacement
In cases specified in the regulations:
- I make a statement to reduce the price of the goods by the amount of ........... (in words: .........) zloty,
- I make a declaration of withdrawal from the contract
please refund the amount stated to .................................................................................
email to my address ................................................................
....................................................
consumer's signature
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