Product Return/Withdrawal Form

Withdrawal form

Recipient (seller):
You-Nick limited liability company
Ślęzna Street 148, 53-111 Wroclaw
KRS: 0000417827 • NIP: 8992735469
e-mail: contact@you-nick.pl • tel.: +48 506 746 648

Declaration of withdrawal from the contract

I/We(*) hereby inform you that I/We(*) withdraw from the sales contract for the following product(s)(*):
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Order number: ....................................................................
Date of order placement: ..............................
Date of receipt of goods: ..............................

Consumer(s) data:
Name and surname: .............................................................
Address: ........................................................................
..............................................................................
E-mail address / telephone: .....................................................

Refund of payment:
I request a refund using the same payment method; if this is not possible, please return it to the following account:
Account number: .............................................................................

Additional information (optional):
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Signature of consumer(s) (only for paper version):
..............................................................................
Date of completion of the form: ..................................

(*) Delete as appropriate.