Englisch Form

CUSTOMER NUMBER *

INVOICE NUMBER

ORDER NUMBER

NAME *

EMAIL *

ADDRESS

PHONE *

ARTICLE NUMBER *

PRODUCT DESCRIPTION *

BRAND AND MODEL OF YOUR VEHICLE *

CONSTRUCTION YEAR OF YOUR VEHICLE *

REASON FOR RETURNING *
MONEY BACKEXCHANGEWARRANTY REPAIRWRONG DELIVERYNEW ORDERTRANSPORTATION DAMAGE

CONDITION OF THE ITEM *
NEWUSEDMALFUNCTION

DESCRIPTION OF THE PROBLEM *

Payments via credit card will be returned to the credit card the payment was made from!

BANK

ACCOUNT HOLDER

IBAN

BIC

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