Returns

Contract withdrawal form.

 (To be completed only in case of an intention to withdraw from a contract with the Seller).

Addressee (Company): Relab Corp Sp. z o.o., ul. Hanasiewicza 19, 35-103 Rzeszów, Polska.

Consumer’s first name and surname: ………………………………………………………………………..

Consumer’s Address:…………………………………………………………………………………………….

Contact information (email/phone number)…………………………………………………………………..

Withdrawal declaration

I hereby inform you of withdrawal from the contract/order whose subject is…………………………. …………………………………………………………………………………………………………………………

Order date: ……………………………………………………………………………………………………..……

Sales Document Number (invoice/receipt number): ………………………………………………………..

Order number……………………………………………………………………………………………………….

Bank account number to be refunded* :……………………………………………………………………….

Date:………………………..…                                                  Signature: …………………………………

* In the case of a return of funds to a different account than the one from which payment for the Order was made.

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