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Return form
The Return Form

If you wish to withdraw from the contract within 14 days, please print and fill in this form

 

FORMULATION OF THE FORM RETURY FROM THE AGREEMENT

– Addressat:
Bamboo Bogumił Kruk
Hedds 1a

29-145 Secemin


– I/We hereby inform/inform (?) about my/our Withdrawal from the contract of sale of the following items(s)
............................................................................................................................................................................................................
............................................................................................................................................................................................................

– Date of conclusion of the contract(s)/receipt(s):
............................................................................................................................................................................................................

– Name and surname of the consumer(s):
............................................................................................................................................................................................................

– Address of the consumer(s):
............................................................................................................................................................................................................

- Data to return:

................................................................................................................................................................................................................................................

 

– Consumer signature(s):....................................................................................................................................
(only if the form is sent in paper version)

– Date: ...........................................................................
(a) Delete as no need.