WITHDRAWAL FORM

(For consumers and sole traders acting as consumers)

Return address:
Michał Matczuk high-quality sale
Obrońców Lublina 27/19
20-379 Lublin
Poland
Email: [email protected]

I, the undersigned, hereby inform you about my withdrawal from the contract for the purchase of the following items:

Date of purchase:
Date of receiving the goods:
Full name:
Address:
Order number:
Bank account number for refund:
Customer signature (if sent in paper form):
Date: