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(Client's name and surname)
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(Client's correspondence address)
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(contact phone number)
RW-ZONE ROBERT WESOŁY
Kanclerska 16 Gortatowo
62-020 Swarzedz
robert@discushobby.com
COMPLAINT
I declare that I am filing a complaint regarding the sales agreement concluded on ………………………………………… and concerning the purchase of the following goods:
1) ………………………………………………………… for the price of ……………………………………,
2) ………………………………………………………… for the price of ……………………………………,
3) ………………………………………………………… for the price of ……………………………………
The above mentioned goods are defective because ………… ...
I am attaching / I am not attaching* photographs of the above-mentioned defective goods to this complaint.
The above described non-conformity of the goods with the contract is significant/insignificant*.
In connection with the above, if the complaint is accepted, I request**:
1) the Seller presents a proposal to remove the defect or
2) I request the exchange of the goods for a new one or
3) Instead of replacing the item, I request the removal of the defect, unless bringing the goods into compliance with the contract in the selected manner is impossible or would require excessive costs compared to the method proposed by the Seller. I acknowledge that when assessing the excessiveness of costs, the value of the goods without defects, the type and significance of the identified defect are taken into account, as well as the inconvenience to which I would be exposed in another method of satisfaction
4) ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
I am aware that the personal data provided by me will be processed by the Seller for purposes related to the execution of this complaint and the fulfillment of the related requests and in accordance with the principles specified in the relevant legal provisions. I know that I have the right to request from the data controller access to my data, its rectification, deletion or restriction of processing, or objection to processing, as well as the right to lodge a complaint with the supervisory authority.
……………………………………………………
(name, surname and signature of the Client)
Additional information from the Seller:
The personal data provided by you will be processed by the Seller for purposes related to the execution of your complaint and the fulfillment of the related requests, and in accordance with the principles specified in the relevant legal provisions. You have the right to request from the data controller access to your data, its rectification, deletion or restriction of processing, or to object to processing, as well as the right to lodge a complaint with the supervisory authority. More information is included in the document "Information from the personal data controller".
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* delete as appropriate.
** make a selection and cross out the rest.