RETURN FORM

.................................................................., date ..............................................
                             

FROM:

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

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

......................................................................................................
(name, surname and the Customer’s address)

TO:

F2H Sp. z o.o.
Wandy Rutkiewicz 9
02-956 Warsaw
Poland

Return Statement

I hereby inform that I withdraw from the sales agreement concerning the purchase of the following Product: ...................................................................................................... ordered on ...................................................... (order date) through the website www.betelli.pl.

Please make a refund by a bank transfer to the account number specified below:

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

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

(customer's signature - only if the Form is sent in paper version)