Form of withdrawal from the contract

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

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Name and surname of the consumer (s):

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Address of the consumer (s)

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Form of withdrawal from the contract

(must be completed and sent back only if you wish to withdraw from the contract)

 


I hereby inform you about the withdrawal from the sales contract for the following product:

Product name:

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The date of conclusion of the contract:

 

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Sincerely


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