Product Return Request Form Customer

Name: [Your Name]

Contact Phone: [Your Phone]

Email Address: [Your Email]

Address: [Your Address]

Order Number: [Order Number]

Order Date: [Order Date]

Product Name: [Product Name]

Reason for Return: [Reason for Return (e.g., wrong size, defect, not as described, etc.)]

Product Condition Description:

The product has not been used.
The packaging is not damaged.
The product shows no signs of wear or damage.
All tags and labels are intact.
Comments: [Additional comments, if any]

In accordance with the Polish Consumer Protection Law, I hereby withdraw from the sales contract and request a refund of the amount paid for the product in the sum of __________________________ (amount in words).
I am returning the product because ______________________________________ (reason for return).

Please process the refund for the above-mentioned product. I request the refund to be made to [specify the refund method, e.g., bank card, PayPal, etc.]

Refund Details:

Bank Card: [Card Number]
Cardholder Name: [Cardholder's Name]
Bank: [Bank Name]

Thank you in advance for promptly processing my request.

Date: [Date of Submission]