Return form
Return Form
Customer details:
- Name and surname: __________________________________________
- Address: ___________________________________________________
- Postcode and city: _____________________________
- Phone number: _________________________________________
- E-mail address: ________________________________________________________
Order details:
- Order number: ______________________________________
- Purchase date: ____________________________________________
- Date of receipt of the shipment: ________________________________
Returning a product:
- Product name: _________________________________________
- Product Code (if applicable): ______________________________
- Reason for return (select the appropriate option):
- ☐ The product does not meet expectations
- ☐ You ordered the wrong product
- ☐ Other (please describe): ________________________________
Bank account number for refund:
Customer signature:
( signature required only for returns in person or on paper )
Instruction:
- Paste the form into any text editor.
- Print the returns form.
- Complete the returns form.
- Include it in your return shipment along with your proof of purchase.
- Send the parcel to the following address:
Wólczańska 161, 2U
90-525 Lodz.