Form for returning goods

RETURN FORM
ORDER NUMBER: ……………………………………….

ORDER DATE: …….………………………………………

INVOICE/RECEIPT NUMBER: …..……………………………………………………………………………………………………..…….

NAME AND SURNAME: …………………..……………………………………………………………………………………………………

ADRESS: ……………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………….

TELEPHONE NUMBER: ……………………………………………………..

EMAIL: .……………………………………………………

Please refund the money to the bank account:
(refund is possible only to the Customer’s bank account)

Bank Name………………………………………………………………………………………………………………………………………..

Account Number

PRODUCT NAME QUANTITY GROSS PRICE REASON FOR RETURN






Customer Notes: ……………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………
I declare that I am aware of the return conditions specified in the Return Policy.


………………………………………….
Legible Customer Signature