Kickenza

Return Form
(Withdrawal from the Contract)

Model withdrawal form – complete and send this form only if you wish to withdraw from the contract.

Recipient

KIXA SPÓŁKA Z OGRANICZONĄ ODPOWIEDZIALNOŚCIĄ Krochmalna 46 / 15 00-864 Warsaw, Poland e-mail: info@kickenza.com

How to Send the Form

The form may be sent by e-mail or by post to the following address:

Krochmalna 46 / 15, 00-864 Warsaw, Poland

Return Address

Returned goods should be sent to the returns warehouse address:

Kickenza | Krochmalna 46 / 15, 00-864 Warsaw, Poland

RETURN FORM
1. Returned Product(s)
2. Order Date
3. Delivery Date
4. Consumer Name(s)
5. Consumer Address
6. Bank Account Number for Refund
7. Phone / E-mail for Contact
8. Consumer Signature(s) (only if the form is submitted in paper version)
9. Date

(*) Delete as appropriate.

Final Information

The completed form may be sent by e-mail to: info@kickenza.com or by post to the recipient address provided above.

The returned product should be sent to the returns warehouse address: Kickenza | Krochmalna 46 / 15, 00-864 Warsaw, Poland.