SAMPLE WITHDRAWAL FORM FOR CONSUMERS
(this form should be completed and returned only if you wish to withdraw from the contract within 14 days from the date of delivery of the Goods)
Addressee: GRUPA MAWY EU SP. Z OO with its registered office in Tworków, ul. Główna 120a, 47 – 451 Tworków
Telephone: .................................................................................................................................................................
e-mail: .................................................................................................................................................................
I ....................................................................... I hereby inform about my/our withdrawal from the sales contract for the following Goods:
..............................................................................................................................................................................................................................................................................
Order details
Date of receipt: .............................................................................................................................................
Consumer's name and surname: ....................................................................................................................................
Order number: .............................................................................................................................................
Please be advised that refunds are generally made in the same way in which you paid.
If you want to choose a different return method or change your return details, please complete the appropriate items in the table below.
I made an online payment and I want to receive a refund to an account other than the one from which I made payments |
No. accounts: ............................................................................................................................................................................................. |
I made a payment other than online and I want to receive a refund on my account banking |
No. accounts: ............................................................................................................................................................................................. |
I made a payment other than online and I want to change your refund details |
No. accounts: ............................................................................................................................................................................................. |
Signature: ..................................................................................................
(only if the form is sent in paper version)
Date of completion: .............................................
Download the withdrawal form in electronic version (PDF): Form
GRUPA MAWY EU SP. Z OO based in Tworków
street Główna 120a, 47 – 451 Tworków
NIP: 6392032155
GOODS COMPLAINT FORM
Order number: .............................................................................................................................................
First name and last name: .........................................................................................................................................
Address: .......................................................................................................................................
Phone number: .............................................................................................................................................
E-mail adress: ....................................................................................................................................
ADVERTISED GOODS
Date of acquisition: .............................................................................................................................................
Goods data: .............................................................................................................................................
Price: .......................................................................................................................................
Date of finding non-compliance of the Goods with the contract: .........................................................................................................................................
Reason for complaint (description of the fault, including, if applicable: date of installation of the part,
mileage, vehicle brand, vehicle year, VIN number):
.......................................................................................................................................
I am applying for free repair/replacement of the Goods with a new one*.
First name and last name: ................................................................................................
Signature: ..................................................................................................
*delete as appropriate
Download the withdrawal form in electronic version (PDF): Form