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Withdrawal from the contract

Place, date..........................
Customer’s name and surname ….................................................................
Address:
street/no.......................................................................................................
postal address/city …................/............................................................................
telephone no.: …...............................................
email address: …..............................................
Sauna-Serwis.pl
Tel. +48 722 35 35 35
ul. Miejska 26
05-800 Pruszków
biuro@sauna-serwis.pl
Statement

about the withdrawal from a distance contract
I declare that according to the provisions of Chapter 4 of the Act of 30 May 2014 on
consumer rights (Journal of Laws of 2014, item 827) I withdraw from the purchase contract
(product replacement) ...................................................................... sales document no.
............................. order number ……………….
Sales date:................................................ .............................................. Goods
purchased on distance selling terms (online shop) for gross price …................ ..
Proszę o zwrot należnej kwoty na konto
number .........................................................................................................................
or:....................................................................................................................................
Goods are returned in undamaged, unused, unchanged condition.
The cost of returning of the goods is incurred by the buyer. Seller DOES NOT ACCEPT
parcels with goods labelled cash on delivery.
In order to return the goods this statement must be attached as well as a document
confirming the sale - in case of a fiscal receipt - the original
receipt.
... ................................................. ...............
Customer's signature
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