Complaint form

Polanex sp. O.o.
ul. Słoneczna 40
62-200 Gniezno
email: reklamacje@polanex.com.pl
phone: 61 42657 91

....................................., on ........... ..........................

 

Name and surname of the consumer (s):

.................................................. .................................................. ...............

Address of the consumer (s)

.................................................. .................................................. ...............

 

Product complaint


I hereby inform you that I purchased the product on ..................................... on

.................................................. .................................................. .................................................. ...... is flawed.

The disadvantage is:

.................................................. .................................................. .................................................. .............................
.................................................. .................................................. .................................................. .............................

The defect was found on ............................................. ..............................
In view of the above, pursuant to the Act of 23 April 1964, the Civil Code requires:

exchange of goods for a new one pursuant to art. 561 § 1 of the Civil Code *)
free repair of goods under art. 561 § 1 of the Civil Code *)
reduction of the product price by the amount of ..................................... (say: ..... .................................................. .................................................. ...) PLN. I am asking for a refund of the amount credited to my account ........................................... .................................................. .................. / postal order to my address pursuant to art. 560 § 1 of the Civil Code *)
I withdraw from the contract and I am asking for the return of the item price to my account ....................................... .................................................. ...................... / by postal order to my address pursuant to art. 560 § 1 of the Civil Code *)

 

Sincerely

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