RETURN & EXCHANGE

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Full Name_______________________

_______________________

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Passport Series ___________________

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Date of Issue  ___________________

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Phone Number ___________________

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Statement

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I hereby request a refund for the following item 

____________________________________________________________________________

(in accordance with the consumer's right as per the article of the Law of Ukraine "On Consumer Protection", including the name of the product)

Purchased on ___________ as per order № _________________

due to the fact that the purchased item did not suit me ____________________________

(in terms of shape, dimensions, style, color, size)

 Amount ___________________________________________________________________

(amount in words)

to be refunded to the card number ____________________________________________________________________.

                             (card number from which the payment was made)

I confirm that the item was not used by me, and it retains its original condition and tags.

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Date: « _» _______ 202