Withdrawal form

Want to return your order within 14 days? You can use the template below, but you do not have to. Any message that clearly states that you are withdrawing from the contract is enough, sent to kontakt@aglie.pl or by post to the address given below. Our return rules are described on the Returns and complaints page.

You can copy the form into an email, or print it out, fill it in and send it by post.

MODEL WITHDRAWAL FORM

(complete and return this form only if you wish to withdraw from the contract)

• Addressee: MATEUSZ PRZYBYSŁAWSKI MANUFAKTURA BURGERÓW PPHU "AGLIE", Aglie online shop, ul. Reymonta 2, 62-800 Kalisz, email: kontakt@aglie.pl
• I/We(*) hereby give notice that I/we(*) withdraw from my/our(*) contract of sale of the following goods(*) contract for the supply of the following goods(*) contract for specific work consisting in the making of the following goods(*)/for the provision of the following service(*):
  ......................................................................................................
• Date the contract was concluded(*)/date of receipt(*): ....................................
• Name of consumer(s): ....................................
• Address of consumer(s): ....................................
• Signature of consumer(s) (only if this form is sent on paper): ....................................
• Date: ....................................

(*) Delete as appropriate.

It helps to add (this is not required): your order number.

When we receive your email, we will confirm receipt without delay.