PRODUCT COMPLAINT FORM

PRODUCT COMPLAINT FORM

City,
Date
Name, Surname
Consumer Address
Order Number

To Kaczmarczyk Meble Dzianisz 85c 34-514 Dzianisz
I hereby inform you that the product purchased by me on the day of ……………. is not in accordance with the contract (defective). The defect consists of ………………………………………………………………. ……………………………………………………………………………………………………………………………………….
Order Number (available after logging in or in the order confirmation email) …………………………………………………………………………………………………………………………………………
The defect was noticed on ……………………….. . Therefore, based on the Consumer Rights Act dated May 30, 2014:
• I demand a free repair of the product
• I demand a replacement of the product with a new one
In cases specified by law:
• I declare a reduction of the price of the product by the amount of ……….. (in words: ………) EUR,
• I declare withdrawal from the contract
Please refund the specified amount to the account ……………………………………………………………………… / by postal transfer to my address ……………………………………………………....
…………………….......................................

Consumer's Signature