Withdrawal form

MODEL WITHDRAWAL FORM (This form should be completed and returned only if you wish to withdraw from the contract)

 

Recipient: Optiwriting Sp. z o.o. ul. Zygmunta Augusta 5/2, 31-504 Kraków, Poland E-mail: hello@sloy.pl

NOTE! Products should be returned only to the warehouse address: SLOY (Optiwriting Sp. z o.o.), ul. Przewóz 34, 30-716 Kraków, Poland. Please do not send returns to the SLOY company headquarters address.

 

I/We() hereby inform you of my/our() withdrawal from the contract of sale of the following items(*): .................................................................................. ..................................................................................

Order number: ...................................... Date of receipt: ......................................

 

Name of the Consumer(s): ..................................................................................

Address of the Consumer(s): .................................................................................. ..................................................................................

E-mail: ...................................... Phone: ...................................... (optional)

 

Bank account number for the refund (to be filled in only if you wish to receive the refund to a bank account or if the payment was made by cash on delivery/traditional bank transfer): .................................................................................. Account holder: ......................................

 

Date: ......................................

Signature of the Consumer(s): ...................................... (only if the form is submitted in paper version)

 

(*) Delete as appropriate.

 

PRODUCT RETURN ADDRESS: SLOY (Optiwriting Sp. z o.o.) ul. Przewóz 34 30-716 Kraków Poland