Appendix No. 2 to the Terms, Conditions and Refund Policy

Withdrawal Form Template (Return Request)

This form should be sent only if you wish to withdraw from the contract and receive a refund.
You may send it by email or traditional mail.

TO: [email protected] / PRIMANATURA Piotr Podermański, Bieńkówka 62, 34-212 Bieńkówka, POLAND

FROM: .................................................................................................................................
(here your details: full name, postal address or email address)

I, ................................................................................................................................. (your name),
hereby inform you of my withdrawal from the purchase/sale contract
concluded on ............................................................................................... (date of purchase)
Regarding the following items:
………………………………………………………………………………………………. (name of the product or service)

Date of submission: ................................................................... (enter today’s date)

Consumer’s signature: .......................................................
(When sending by email, typing your name is sufficient instead of a handwritten signature.)