RB2B.PL ONLINE STORE

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COMPANY/ORGANIZATION DETAILS

Company/Organization Name: ___________________________________

Tax Identification Number (NIP): _____________________ REGON: _____________________

Headquarters address:

• Street and number: ___________________________________________
• Postcode: ____________ City: ___________________

Contact details:

• Email: ________________________________________________
• Telephone: ______________________________________________

Person representing the company:

• Name and surname: _______________________________________
• Position: __________________________________________

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ORDER DETAILS

Order number: _____________________________________

Order date: ______________________________________

Date of receipt of goods: ________________________________

Invoice number: _______________________________________

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PRODUCTS FOR RETURN

PRODUCT 1

• Product name: ___________________________________
• Product code: ___________________________________
• Quantity: _________ Unit price: _______________
• Reason for return: ___________________________________
• Packaging condition: □ Intact □ Open □ Damaged

PRODUCT 2

• Product name: ___________________________________
• Product code: ___________________________________
• Quantity: _________ Unit price: _______________
• Reason for return: ___________________________________
• Packaging condition: □ Intact □ Open □ Damaged

PRODUCT 3

• Product name: ___________________________________
• Product code: ___________________________________
• Quantity: _________ Unit price: _______________
• Reason for return: ___________________________________
• Packaging condition: □ Intact □ Open □ Damaged

If you wish to order more products, please attach an additional sheet of paper.

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REASON FOR RETURN

□ Goods not in accordance with the order
□ Goods damaged during transport
□ Manufacturing defect
□ Error in order
□ Cancellation of order
□ Other - please specify: _____________________________________

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SETTLEMENT METHOD

□ Refund - the same payment method as when purchasing

□ Exchange for another product:

• Product name: ____________________________________
• Product code: ____________________________________

□ Other: ____________________________________________

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REFUND DETAILS

Payment method upon purchase: □ Bank transfer
□ Online payment
□ Cash on delivery
□ Other: _______________

Bank account number (if different from the one used at purchase):

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Bank name: _____________________________________

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DECLARATIONS

□ I declare that the returned goods are in a non-deteriorated condition

□ I confirm that I am reporting the return within 14 days of receiving the goods

□ I attach a copy of the invoice/receipt to the shipment

□ I accept that the costs of returning the goods are at my own expense

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ADDITIONAL NOTES

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Date completed: _______________

Signature of the person representing the company: ________________________

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SHIPPING INSTRUCTIONS

1. Complete the return form in its entirety
2. Pack the goods in their original packaging or protect them against damage.
3. Include a copy of your invoice and the completed return form.
4. Send to:

INSTA SP. Z OO
RB2B.PL RETURNS
Installatorów Street 23
02-237 Warsaw

CONTACT FOR RETURNS

• E-mail: bok@rb2b.pl
• Phone: +48 721-399-788
• Opening hours: Mon-Fri 8:30-16:30

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The form must be completed legibly. Fields marked as required must be completed.

INSTA SP. Z OO
ul. Instalatorów 23, 02-237 Warsaw
Tax Identification Number: PL5223133060