↓ Store address (from invoice):
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STATEMENT OF CANCELLATION OF CONTRACT
for the consumer
Departed from the contract of sale of the following things:
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Concluded on .......................... order number .......................... date of receipt............................
Please refund .................. zł/EUR (in writing...........................................................................)
By postal mail to: ....................................................., or
The bank account number: ..................................................................……………………………
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full name
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address
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city, date
signature of the consumer