Product claim form

Complete and submit this form only if you wish to withdraw from a distance purchase agreement

Name of the customer

Last name of the customer

Customer's e-mail address

Proof of purchase (invoice number)

Customer address

Product name

Purchase date

Delivery date

Opt-out notice

I declare that, in accordance with Article 10 of the Law on the Protection of Consumer Rights, I wish to withdraw from the contract I have concluded for the purchase of the above-mentioned product.

After receiving the notification, we will send you a confirmation.

More details: Returning goods

Refunds:

Bank SWIFT

Bank account

Reason for refund:

Bad quality

Defective product

Damage during delivery

Other reason (please describe)

Image with damage