RETURN ACCEPTANCE PROTOCOL
address: SIA „Helios DSC”, Semināra 19-3, Valka, Latvia, LV-4701
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City Date
Order No. …………
Proof of purchase number ………………………………………………………………………………..
Name and surname……………………………………………………………
Address…………………………………………………… ……………………………………………………
Contact phone number……………………………………………..
Date of conclusion of the sales contract………………………………………………………………..
I withdraw from the purchase / Return
I declare that I return the purchased product in an unchanged state. I have attached a proof of purchase with the product I purchased to my shipment. Please transfer the total amount of the refund to the account below.
*reasons for returns:
- 1. DOES NOT FIT SIZE (TOO SMALL/TOO BIG)
- 2. DEFECTIVE PRODUCT
- 3. SIZE NOT COMPATIBLE WITH DIMENSION TABLE
- 4. CUT NOT FOR ME
- 5. PRODUCT QUALITY
- 6.OTHER (WHAT?)
I withdraw from the purchase / Return
1……………………………………………………………………… REASON*…………
2……………………………………………………………………… REASON*………….
3……………………………………………………………………… REASON*…………
4………………………………………………………………………. REASON*…………
5………………………………………………………………………. REASON*…………
(Name of returned item ) ( enter the number of the reason for the return)
……………………………………………
Amount to be refunded
Bank account number
Bank Name:…………
Name and surname of the bank account holder: ……………….
legible signature of the person returning the signature of the person receiving the goods
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