Form for returning goods

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

ORDER DATE: ....... .............................. ...............

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

FIRST AND LAST NAME: ....................... .............................. .............................. .............................. ........................

ADDRESS: ........................... .............................. .............................. .............................. .............................. ............... ............... .............................. .............................. .............................. .............................. .............................. .............

PHONE NUMBER: ........................ .............................. ........

EMAIL: . .............................. ..............................

Please transfer the money to the following account: (Refund only possible to the customer's bank account)
(Refund is only possible to the customer's bank account)

Bank name........................... .............................. .............................. .............................. .............................. ........

Account number

PRODUCT NAME QUANTITY GROSS PRICE REASON FOR RETURN






Notes about the customer: ........................ .............................. .............................. .............................. .............................. ........................... ... .............................. .............................. .............................. .............................. .............................. ..................
I declare that I have taken note of the return conditions listed in the return policy.


.............................. ...................
Legible signature of the customer