Withdrawal form
WITHDRAWAL FORM
= The hereby form will be sent back filled only if you wish to
withdrawal from this
contract =
To S.C. FALKOR S.R.L.
The return address: the address from which the package was delivered (you
can find it on the package; if is not there, you can contact us at 0245.211.619,
0245.632.986).
The undersigned _____________________________, I hereby inform you about
my withdrawal from the contract concerning the purchasing of the following
goods:
Product’s name |
Model’s name |
Quantity |
Received quantity* |
The state of the product at reception |
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*It will be filed by S.C. FALKOR S.R.L.
The customer must attach the withdrawal form for the refund of the money
and a copy of the invoice together with the warranty and quality certificate.
This form must be included on the package that will be sent back at the
following address: S.C. FALKOR S.R.L. - Road.
Targoviste-Bucuresti Dn 71 km. 8, Bungetu, Vacaresti,
The correspondent amount will be transferred to the IBAN bank account:
___________________________________________
Bank : __________________________________
Name and surname of the customer: ______________________________________
Telephone number: __________
Data: ______________