Forms

COMPLAINT FORM

​The seller operates an unregistered business in accordance with Article 5, Section 1 of the Entrepreneurs' Law. Complaints are accepted in accordance with the Civil Code provisions regarding warranty for defects in sold goods.

​Buyer's First and Last Name:

..............................................................................

​Buyer's E-mail Address:

..............................................................................

​Phone Number:

..............................................................................

​Correspondence Address:

..............................................................................

​Date of Purchase:

..............................................................................

​Date of Receiving the Goods:

..............................................................................

​Name of the Complained Product:

..............................................................................

​Description of the Defect:

..............................................................................

​..............................................................................

​..............................................................................

​Buyer's Request (e.g., repair, replacement, price reduction, refund):

..............................................................................

​Bank Account Number for Refund:

..............................................................................

​Date of Filing the Complaint:

..............................................................................

​Buyer's Signature (for a paper form):

..............................................................................

​

WITHDRAWAL FROM CONTRACT FORM

​Fill out and return this form only if you wish to withdraw from a distance contract (in accordance with the Consumer Rights Act).

​Seller's Details:

URSULLA - Adam Podlipski

unregistered business

ul. Powstańców Warszawy 25/5

11-400 Kętrzyn

e-mail: collabs@wearursulla.com

​

Consumer's Details:

First and Last Name: ........................................................................

Address: ............................................................................................

Contact Phone Number: ..................................................................

E-mail Address: ................................................................................

​I hereby inform about my withdrawal from the sales contract for the following goods:

.....................................................................................................

​.....................................................................................................

(product name and – optionally – order number)

​Date of Receiving the Goods:

.....................................................................................................

​Order Number (if available):

.....................................................................................................

​Bank Account Number for Refund:

.....................................................................................................

​Date of Filing the Statement:

.....................................................................................................

​Consumer's Signature (for a paper form):

.....................................................................................................

​Notes:

• The form can be sent via e-mail or post.
• The return of the goods should take place no later than 14 days from the date of withdrawal from the contract.
• The refund will be issued after receiving the returned product.