Item return form due to material error

Customer data

Name and surname: ..........................................................................................................................................

Title: .....................................................................................................................................................

Phone: ....................................................................................................................................................

E-mail: ......................................................................................................................................................

Account number: .......................................... Invoice date of the received item*: ........................................

Order number**: ...................................................................................................................................

Code of the submitted item***:..................................................................................................................

Detailed error description for claiming a material error:

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Contents of the received package:

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Note: The item you are returning due to a material defect must be accompanied by all possible accessories when returning it.

When the material error was discovered (date): ............................................................................................

In case the factual error is justified, I want (circle):

  • Refund (specify transaction account number): .................................................................
  • Replacement for the same item (in case it is in stock)
  • Troubleshooting

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Date and signature of the buyer

__________________________________________________________________________________________

* The date is on the item invoice

** The order number is in your received e-mail. message when ordering the item.

*** The code is on the item invoice.


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