Statute

§1. Definitions used in these Terms and Conditions 

Customer shall mean a natural person, a legal person or an organizational unit without legal  personality, which is granted legal capacity by generally applicable law, who enters into an  agreement for the provision of a Service with the Seller. 

Customer Account shall mean a panel that enables the Customer to manage their orders via  the Store, provided that the Customer has registered and logged in. 

Consumer shall mean a Customer who is a natural person and concludes an agreement for a  purpose not directly related to their business or professional activity. 

Shopping Cart shall mean a functionality of the Store that allows the Customer to compile  Goods for an order. 

Parcel Locker shall mean an automated deposit box or postal terminal used for collecting  parcels containing Goods. 

Entrepreneur with Consumer Rights shall mean a Customer who is an entrepreneur placing an  order for Goods related to their business activity, but which are not of a professional nature for  that entrepreneur, in accordance with applicable law, in particular as determined by the subject  of their business activity under the provisions on the Central Registration and Information on  Business Activity. 

Carrier shall mean an entity providing services of delivery of Goods in cooperation with the  Seller. 

Terms and Conditions shall mean this document which sets out the contractual terms for the  provision of Services by electronic means by the Seller to Customers via the Store. Store shall mean the shop operated by the Seller via the website available on the Internet at  the address: dabia.eu. 

Seller shall mean the company Horizon Medical Concept sp. z o.o., with its registered office at  87 Grzybowska Street, 00-844 Warsaw, entered in the Register of Entrepreneurs of the National  Court Register under KRS number 0000374166, NIP 5242725459, and REGON 142741114,  being the service provider, administrator, and owner of the Store. The Seller can be contacted  by phone at +48 880 687 099 and by e-mail at kontakt@dabia.eu. 

Sale shall mean a service of selling Goods provided by the Seller to the Customer, consisting  of the Seller’s obligation to transfer ownership of the Goods to the Customer and deliver them,  and the Customer’s obligation to accept the Goods and pay the specified price to the Seller. 

Goods shall mean any item presented within the Store by the Seller for the purpose of Sale. Service shall mean a service provided by the Seller to the Customer under an agreement  concluded between the parties via the Store. The agreement is concluded as part of an  organized system for concluding contracts at a distance, without the simultaneous physical  presence of the parties. 

§2. General Provisions 

1. The Seller provides Services in accordance with these Terms and Conditions and the  provisions of generally applicable law.

2. The online Store is available at dabia.eu. 

3. The Seller can be contacted: 

1. by post: Horizon Medical Concept sp. z o.o., 87 Grzybowska Street, 00-844  Warsaw, 

2. by e-mail: kontakt@dabia.eu, 

3. by phone: +48 880 687 099. 

4. The Seller makes these Terms and Conditions available on the Store’s website and may  also make them available in the Customer Account or attach them to e-mail messages  containing declarations of acceptance of Customers’ offers. Customers may at any time  access the Terms and Conditions, record them, and obtain and reproduce them by  printing or saving them on a data carrier. 

5. The information presented on the Store’s website does not constitute an offer by the  Seller within the meaning of Article 66 of the Civil Code, but only an invitation for  Customers to submit offers to conclude a contract, in accordance with Article 71 of the  Civil Code. 

6. In order to use the Store, the Customer must have a device with Internet access, a  correctly configured web browser (in the current or immediately preceding version of  Microsoft Edge, Mozilla Firefox, Google Chrome, Safari or Opera) with JavaScript  enabled, as well as an active and properly configured e-mail account. 

§3. Customer Account Registration 

1. The agreement for the provision of the Customer Account Service is concluded for an  indefinite period upon the Seller’s confirmation of the Customer Account registration. 

2. The subject of this Customer Account Service is to provide the Customer with access to  the Customer Account panel, enabling, among other things, management of the  Customer’s data and orders. 

3. To create a Customer Account, you must voluntarily and free of charge register by  completing and submitting the registration form made available on the Store’s website. 

4. Correct completion of the registration form requires filling in all mandatory and any  optional fields with true, complete, and accurate data or information concerning the  Customer.

5. Before submitting the registration form, by selecting the appropriate checkbox, the  Customer should declare that they have read and accept these Terms and Conditions. 

6. Submission of the registration form to the Seller is carried out via the Store’s  functionality. 

7. Use of the Customer Account is possible after its creation and subsequent login using  the correct login credentials. 

8. Sharing Customer Account access credentials with third parties or creating multiple  Customer Accounts by one Customer is prohibited. 

9. The Customer may terminate the agreement for the provision of the Customer Account  Service at any time and without giving any reason, using the functionality of the Account  or by sending a declaration to the Seller (e.g., via e-mail or post). 

10. The Seller may terminate the Customer Account Service agreement at any time and  without giving any reason, with a 14-day notice period, while respecting the Customer’s  rights acquired prior to termination. 

§4. Basic Store Functionalities 

1. The Seller enables Customers, via the Store, to browse the information published in the  Store. Use of the Service ends when the Customer closes the Store’s web page. 

2. The Seller provides Customers with the following basic Store functionalities: 1. access to a Goods search engine, 

2. access to promotional presentations of Goods on social media. 

3. To search for Goods in the Store, the Customer must enter the desired keywords into  the Store’s search bar and confirm. This functionality allows searching the Store’s  catalogue using the keywords provided. Additionally, it may support advanced search by  selected criteria. 

4. To print a promotional presentation of Goods, the Customer must use the print  functionality for the promotional presentation. Use of this functionality requires a  connected and properly configured printer. 

§5. Orders Placed via the Store

1. Orders for Goods may be placed via the Store’s website 24 hours a day, 7 days a week,  using the Shopping Cart function. 

2. After compiling the list of Goods in the Shopping Cart, the Customer proceeds to order  confirmation. 

3. To place an order, the Customer should follow the on-screen instructions displayed on  the Store’s pages. 

4. While placing the order, the Customer is obliged to: 

1. provide all data marked as mandatory. Failure to provide such data will prevent  completion of the order; 

2. select a payment method and delivery option. 

5. Placing the order is preceded by the display, in the Shopping Cart, of the total order  price including taxes and ancillary costs, in particular delivery and payment costs. 

6. An order is placed by clicking the appropriate button in the Shopping Cart and  constitutes the Customer’s offer to conclude a Sales Agreement for the Goods included  in the order. 

7. Before submitting the order form, by selecting the proper checkbox, the Customer  should declare that they have read and accept these Terms and Conditions. 

8. Acceptance of the Customer’s offer by the Seller, subject to the change referred to in the  preceding point, is deemed a new offer requiring acceptance by the Customer for the  Sales Agreement to be concluded. 

9. If the Customer submits an order form containing Goods that are not in stock at the time,  the Seller shall inform the Customer electronically of that fact. Confirmation of  unavailability of a given Good by the Seller shall take place by sending an e-mail without  undue delay. 

10. Confirmation of order acceptance by the Seller shall take place by sending an e-mail  without undue delay. This message shall include the terms of the concluded Sales  Agreement and the data provided by the Customer in the order form, enabling the  detection of any errors. In case of any error, the Customer may notify the Seller by e mail, indicating the correct data. 

11. Confirmation of order acceptance is equivalent to the Seller’s acceptance of the  Customer’s offer to conclude a Sales Agreement.

§6. Sale 

1. The Seller provides the distance Sales Service of Goods to Customers. 

2. Goods available in the Store are presented in the current assortment on the Store’s  website. The specification, composition and distinctive features of each Good are  provided in the Good’s description in the Store. 

3. The subject of the Sales Agreement shall consist of the Seller’s obligation to transfer  ownership of the Goods to the Customer and their delivery, and the Customer’s  obligation to collect the Goods and pay the price for the Goods. 

4. The Seller reserves the right to conduct promotional campaigns, involving in particular a  reduction in the price of Goods or Services until a specified date or until the stock of  Goods subject to the promotion is exhausted. 

5. By concluding the Sales Agreement, the Seller undertakes to deliver to the Customer  Goods free from defects. 

6. The Sales Agreement is concluded at the moment of confirmation of acceptance of the  Customer’s order by the Seller. 

7. The Sales Agreement shall be concluded in the Polish language and in accordance with  these Terms and Conditions. 

§7. Delivery 

1. Delivery of physical Goods takes place: 

1. if the Customer selects carrier delivery, to the address provided by the Customer; 

2. if the Customer selects parcel locker delivery, to the parcel locker chosen by the  Customer. 

2. Deliveries are made within the territory of the Republic of Poland, Germany, Czech  Republic, Netherlands, France, Spain, Italy, United Kingdom, Switzerland, and Norway. 

3. Detailed information on delivery costs and methods is published on the Store’s website,  and the Customer is informed of these during the order process. 

4. For orders placed on a business day by 11:00 AM, order processing and dispatch occur  on the same day. 

5. For orders placed on a business day after 11:00 AM, as well as orders placed on  Saturdays, Sundays, or public holidays, processing and dispatch occur on the next 

business day. 

6. The delivery time to the Customer is 10 business days, unless a shorter period is  specified in the Good’s description or during the order process. 

7. For prepayment orders, the dispatch time runs from the date of payment credit to the  Seller’s bank account. 

8. In all payment variants, Goods will be dispatched only after payment has been received  in full. 

9. Confirmation of dispatching Goods to the Carrier may be made by sending an e-mail to  the Customer’s e-mail address. 

10. The risk of accidental loss or damage to the Goods passes to the Consumer upon  delivery of the Goods to the Consumer. 

11. If the Customer chooses carrier delivery, it is recommended that the Customer inspects  the parcel in the presence of the Carrier. 

12. If damage to the parcel is noted, we recommend filing a claim directly with the Carrier— preferably documenting the parcel’s condition with a protocol signed by the Carrier—or  contacting the Seller. For parcel locker deliveries, we recommend showing the damage  on the locker’s monitoring camera, placing the damaged, unopened parcel back into the  

same locker compartment, and closing it per on-screen instructions, then filing a claim  with the parcel locker operator or the Seller. 

§8. Payments 

1. The payment amount for the Sale is determined based on the price list of Goods  available on the Seller’s website at the time of the order. 

2. The prices shown in the Store’s website for each Good are gross prices in Polish zloty  and include any applicable taxes, but do not include delivery or payment method costs. 

3. Transaction and delivery costs are borne by the Customer, subject to the following  provision. 

4. For orders whose total value exceeds PLN 300 gross, the Seller covers the delivery  costs to the Customer. 

5. The total order price displayed in the Shopping Cart before placing the order, after  choosing delivery and payment methods, includes the price for the Goods, applicable 

taxes, and all ancillary costs, in particular delivery and transaction costs. 6. The Seller enables the following payment methods for the Sales Service: 1. bank transfer to the Seller’s bank account; 

2. electronic transfer to the Seller’s bank account via an external payment operator; 

3. payment card via an external payment operator (including Visa, Visa Electron,  Mastercard, MasterCard Electronic, Maestro); 

4. BLIK via an external payment operator; 

5. deferred electronic transfer to the Seller’s bank account via an external payment  operator, under the operator’s terms. 

7. The Seller uses external payment operators: 

1. the Autopay system by Autopay S.A., with registered office at Powstańców  Warszawy 6, 81-718 Sopot, registered in KRS under 0000320590, NIP  5851351185, REGON 191781561; 

2. the PayU system by PayU S.A., with registered office at Grunwaldzka 182, 60- 166 Poznań, registered in KRS under 0000274399, NIP 7792308495, REGON  300523444; 

3. the PayPo system by PayPo Sp. z o.o., with registered office at Domaniewska  39, 02-672 Warsaw, registered in KRS under 0000575158, NIP 5213705997,  REGON 362485126; 

4. the Stripe system by Stripe Payments Sp. z o.o., with registered office at  Waryńskiego 3A, 00-645 Warsaw, registered in KRS under 0000937028, NIP  7011062474, REGON 520642121. 

8. The Customer is obliged to make payment: 

1. at the time of placing the order – for methods processed via an external payment  operator; 

2. within 7 days – for bank transfer; 

3. within 30 days – for deferred payment methods via an external payment  operator.

9. Refunds by the Seller shall be made promptly, no later than 14 days from the date the  reason for refund arises, in the cases of: 

1. withdrawal from the agreement by the Consumer; 

2. the Seller’s recognition of a claim under a complaint in whole or in part, pursuant  to applicable law. 

10. Refunds shall be made using the same payment method used by the Customer in the  original transaction, unless the Customer agrees to another method that does not incur  costs for them. 

11. The Seller is not obliged to refund any additional delivery costs incurred by the Customer  if the Customer chose a delivery method other than the least expensive standard  method offered by the Seller. 

§9. Newsletter 

1. The Seller enables subscription to a newsletter containing commercial information, sent  to the Customer’s e-mail address. 

2. To subscribe, the Customer must use the appropriate newsletter activation field in the  registration form or another form provided on the Store’s website. 

3. Correct newsletter subscription requires providing the Customer’s e-mail address.  Provision of this data is voluntary but necessary to receive the newsletter. 

4. Unsubscribing from the newsletter can be done at any time and without giving a reason,  using the Store’s functionality, the unsubscribe link in the newsletter message, or by  sending a declaration to the Seller (e.g., via e-mail or post). 

§10. Complaints – Non-Conformity of Service with the Agreement 

1. This Article concerns complaints submitted due to non-conformity of the provided  Service with the agreement. 

2. Complaints may be submitted for non-conformity of the Service with the agreement,  pursuant to applicable law, in particular pursuant to Article 43b et seq. of the Consumer  Rights Act of 30 May 2014. 

3. A complaint may be submitted by post or e-mail to the Seller’s address. It may be  submitted using the form annexed to these Terms and Conditions, but this is not  mandatory.

4. In the complaint, it is recommended to include: 

1. the Consumer’s contact details for response and correspondence; 

2. the Consumer’s bank account number for refund, if applicable; 

3. a description of the problem and the Consumer’s identifying data. 

5. If the complaint concerns Goods that are physical items, the Consumer must deliver or  send the complained Goods to: Popławska Group Sp. J., ul. Clareny 2, Wilczyce, 51-361  Wrocław, at the Seller’s expense. 

6. The Seller shall consider complaints within 14 days of their submission. 

7. The Seller shall inform the Consumer of the complaint resolution by e-mail or standard  mail, depending on the Consumer’s preference or the method of submission. 

8. If the complaint concerns Goods that, after consideration, are to be returned to the  Consumer, the Seller shall, at its expense, deliver or send the Goods to the Consumer’s  address. 

9. Refunds in connection with a complaint shall be made via bank transfer or postal order,  according to the Consumer’s preference. 

§11. Complaints – Statutory Warranty (Rękojmia) 

1. This Article concerns complaints lodged under the statutory warranty for defects. 

2. Complaints under the statutory warranty may be submitted for a period of 2 years from  the date of delivery of the Goods. 

3. A complaint may be submitted by post or e-mail to the Seller’s address. Submission via  the form annexed to these Terms and Conditions is permitted but not mandatory. 

4. In the complaint, it is recommended to include: 

1. the Consumer’s contact details for response and correspondence; 

2. the Consumer’s bank account number for any refund, if applicable; 

3. a description of the defect and the Consumer’s identifying data. 

5. If the complaint concerns physical Goods, the Consumer must deliver or send the  complained Goods to: Popławska Group Sp. J., ul. Clareny 2, Wilczyce, 51-361 

Wrocław, at the Seller’s expense. 

6. The Seller shall consider statutory warranty complaints within 14 days of receipt. 

7. The Seller shall inform the Consumer of the resolution by e-mail or standard mail,  depending on the Consumer’s chosen method of submission. 

8. If the complaint results in replacement Goods, the Seller shall, at its expense, deliver or  send the replacement Goods to the Consumer’s address. 

9. Any refunds in connection with the statutory warranty complaint shall be made by bank  transfer or postal order, according to the Consumer’s preference. 

§12. Out-of-Court Complaint Resolution and Redress 

1. The Consumer has the following out-of-court options for complaint resolution and  redress: 

1. lodging a request to resolve the dispute arising from the Sales Agreement with a  permanent consumer arbitration court operating at the Trade Inspection, whose  address can be determined via the Office of Competition and Consumer  

Protection website; 

2. lodging a request for mediation with the provincial inspector of the Trade  Inspection, whose address can be found via the Office’s website; 

3. seeking assistance from a county or municipal consumer ombudsman or a  consumer-protection organisation; 

4. filing a complaint via the EU’s online dispute resolution platform (ODR) at http://ec.europa.eu/consumers/odr/, pursuant to Regulation (EU) No 524/2013 of  21 May 2013. 

2. Detailed information on these procedures and access rules is available at the offices and  websites of the bodies listed above. 

3. A list of entities and institutions handling out-of-court consumer dispute resolution, along  with detailed information, is available on the Office of Competition and Consumer  Protection’s website. 

§13. Right of Withdrawal from the Agreement 

1. A Customer who is a Consumer or an Entrepreneur with Consumer Rights may withdraw  from the agreement, including the Sales Agreement, without giving any reason within 14 

days, subject to the exceptions detailed in the withdrawal instruction annexed to these  Terms and Conditions. 

2. The right of withdrawal does not apply, inter alia, to agreements for the sale of: 1. Goods liable to deteriorate rapidly or having a short shelf life; 

2. Goods delivered in sealed packaging which cannot be returned once opened for  reasons of health protection or hygiene, if the packaging has been unsealed after  delivery; 

3. Goods which, after delivery, have been inseparably mixed with other items due to  their nature. 

3. To exercise the right of withdrawal, the Customer must submit a declaration of  withdrawal to the Seller. The declaration may be made on the form annexed to these  Terms and Conditions. 

4. The Customer must return the Goods to the Seller or hand them over to a person  authorised by the Seller without undue delay and in any event not later than 14 days  from the day on which they informed the Seller of their decision to withdraw. To meet the  deadline, it is sufficient to send back the Goods before the 14-day period expires. This  provision does not apply where the Seller has offered to collect the Goods themselves. 

5. The Customer bears the direct cost of returning the Goods and is only liable for any  diminished value of the Goods resulting from use beyond that necessary to establish  their nature, characteristics, and functioning. 

6. Upon valid withdrawal, the agreement is deemed not concluded. If the Customer  withdraws before the Seller accepts their offer, the offer ceases to be binding. 

§14. Processing of Personal Data and Cookies 

1. Information on the conditions of personal data processing is set out in the Store’s  Privacy and Cookies Policy. 

2. Information on the cookies used is set out in the Store’s Privacy and Cookies Policy. §15. Licensing Terms 

1. The Seller grants Customers using the Store a free licence for personal use in order to  enable use of the Store, subject to these conditions.

2. The Store’s name, graphic design, structure, source or compiled code, web pages used  to service the Store, and all documents developed by the Seller in connection with  providing the Store, including related works such as these Terms and Conditions and  other communications sent in connection with service provision, constitute works within  the meaning of copyright law. The Seller does not transfer to the Customer any  proprietary copyrights to the Store or any works forming part of it, nor any rights to grant  licences regarding those copyrights or to exercise derivative rights not reserved in these  licensing terms. 

3. The right to use the Store and related works applies to the following fields of exploitation:  saving and reproducing in the memory of a telecommunications device at a time and  place chosen by the Customer, and accessing and displaying via a telecommunications  device at a time and place chosen by the Customer. 

4. The Customer may not rent, lease or resell the works or any part thereof, nor create  derivative works based on them, modify the works, remove information on ownership or  copyrights displayed within the works, or use the works in a manner that violates  applicable law or ethical and moral norms. 

5. The licence is perpetual, worldwide and non-exclusive, covering the entire Store and  related works. The Seller retains exclusive rights to decide on preserving the integrity of  the Store. 

6. By publishing any content in the Store—especially comments or reviews—the Customer  grants the Seller a free, perpetual, worldwide, non-exclusive licence to use that content  in the following fields of exploitation: publication on the Store’s website, saving and  reproducing in the memory of a telecommunications device at a time and place chosen  by the Customer, accessing and displaying via a telecommunications device at a time  and place chosen by the Customer, including the right to grant sublicences for these  fields to enable other Customers to use the Store. 

7. The Customer acknowledges that it is prohibited to submit to or via the Store any  content that is: 

1. unlawful; 

2. likely to mislead other Customers; 

3. infringing the personal rights of Customers, the Seller or third parties; 

4. generally considered offensive, vulgar or contrary to good morals (including  pornographic material, promotion of drug use or excessive alcohol consumption,  or incitement to racism, xenophobia or hate).

8. The Seller is entitled to remove or moderate any content that violates these Terms and  Conditions. 

§16. Effective Date and Amendments to the Terms and Conditions 

1. These Terms and Conditions shall enter into force three days after their publication on  the Store’s website. 

2. Amendments to the Terms and Conditions may be made due to changes in legal  regulations governing the Services or for technical or organisational reasons affecting  the Seller’s service provision. 

3. Amendments shall be effected by publishing the new version on the Store’s website. 

4. Amendments do not apply to Sales Agreements concluded before the date of their entry  into force. 

5. Information on amendments shall be published on the Store’s website at least three  days before the new version takes effect. 

6. The Seller shall notify Customers by electronic means of amendments to the Terms and  Conditions in cases where the parties are bound by an agreement concluded for an  indefinite period. 

§17. Final Provisions 

1. Terms defined with initial capital letters shall have the meanings set out in the Definitions  section of these Terms and Conditions. 

2. The Seller shall not be liable for: 

1. interruptions in the proper functioning of the Store and improper provision of  Services caused by force majeure, in relation to Customers who are not  

Consumers; 

2. interruptions in the proper functioning of the Store and improper provision of  Services to Customers who are not Consumers, caused by technical actions or  reasons attributable to entities through which the Seller provides Services; 

3. lost profits of Customers who are not Consumers. 

3. If it is not possible to amicably resolve a dispute between the Seller and a Customer who  is not a Consumer, or a Consumer not residing in the Republic of Poland (where such  resolution is permitted by the laws of the Consumer’s country), the court competent to 

hear the dispute shall be the court having jurisdiction over the Seller’s registered office. 

4. For Customers who are not Consumers, or for Consumers not residing in the Republic of  Poland—if the laws of their country so permit—the law of the Republic of Poland shall  apply to the performance of the agreement concluded with the Seller and to the  resolution of disputes arising therefrom. 

5. The provisions of these Terms and Conditions do not aim to exclude or limit the rights of  a Customer who is a Consumer under the applicable mandatory law of the Consumer’s  country. A Consumer may not waive such rights. 

6. For agreements concluded with the Seller, in the event of any inconsistency between  these Terms and Conditions and the mandatory laws of the Consumer’s country, the  mandatory laws of the Consumer’s country shall apply. 

7. Should any provision of these Terms and Conditions be held invalid or unenforceable,  this shall not affect the validity or enforceability of the remaining provisions. The invalid  or unenforceable provision shall be replaced by a provision reflecting the original intent  of the parties as closely as possible. 

Information on Exercising the Right of Withdrawal 

Consumers and Entrepreneurs with Consumer Rights have the right to withdraw from the  agreement concluded in our Store within 14 days without giving any reason, subject to the  exclusions set out in the “Exclusion of the Right of Withdrawal” section below. The withdrawal  period expires 14 days after: 

● in the case of a contract for the delivery of goods, the day on which the Consumer or a  third party other than the carrier acquires physical possession of the goods; 

○ if the contract covers multiple goods delivered separately, in batches or parts, the  period runs from the day on which the last good, batch or part is acquired; 

○ if the contract involves regular delivery of goods for a set period, the period runs  from the day on which the first good is acquired; 

● in the case of a contract for the supply of goods where the Consumer acquires physical  possession of the goods after delivery; 

● in the case of a contract for services, the day on which the contract is concluded. 

To meet the withdrawal deadline, it is sufficient to send your communication concerning your  exercise of the right of withdrawal before the 14-day period expires.

To exercise the right of withdrawal you must inform us, Horizon Medical Concept Sp. z o.o., ul.  Grzybowska 87, 00-844 Warsaw, e-mail: kontakt@dabia.eu, of your decision by means of a  clear declaration (e.g. a letter sent by post or e-mail). You may use the model withdrawal form  below, but it is not obligatory. 

Model Withdrawal Form 

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

To: Horizon Medical Concept Sp. z o.o., ul. Grzybowska 87, 00-844 Warsaw |  kontakt@dabia.eu 

I/We () hereby give notice that I/We () withdraw from my/our () contract of sale of the following  goods ()/for the supply of the following service (*) 

Order number (if applicable): __________________________ 

Date of conclusion of the contract ()/receipt of goods (): __________________________ Name and address of consumer(s): __________________________ 

Signature of consumer(s) (only if this form is notified on paper):  

__________________________ 

Date: __________________________ 

(*) Delete as appropriate 

Complaint Form 

(complete and return only if you wish to make a claim under warranty or complaint procedure) 

To: Horizon Medical Concept Sp. z o.o., ul. Grzybowska 87, 00-844 Warsaw; in the case of returning goods: Popławska Group Sp. J., ul. Clareny 2, Wilczyce, 51-361  Wrocław 

Consumer’s name or company name: __________________________ 

Consumer’s address: __________________________ 

Consumer’s telephone number: __________________________ 

Consumer’s e-mail address: __________________________ 

Order number: __________________________

For correspondence regarding this claim, I choose: 

● postal address: __________________________ 

● e-mail address: __________________________ 

Complaint concerns (please tick as appropriate): 

● ☐ non-conformity of the service with the agreement 

● ☐ statutory warranty (defects in goods) 

● ☐ other: __________________________ 

Date of occurrence of the reason for complaint: __________________________ 

Description of the problem:  

__________________________________________________________________ Remedy sought (please tick as appropriate): 

● ☐ free repair 

● ☐ replacement of goods with new 

● ☐ price reduction by PLN ______ 

● ☐ withdrawal from the contract 

Bank account number for refund (if applicable): __________________________ 

Declaration (for Entrepreneurs with Consumer Rights only): 

I declare that the contract for sale was directly related to my business activity but was not  professional in nature within the meaning of applicable law. My business activity code(s) (PKD)  in the Central Registration and Information on Business Activity (CEIDG) are: PKD Code ______ Description: __________________________ 

PKD Code ______ Description: __________________________ 

Date: __________________________ 

Signature: __________________________

(*) Delete as appropriate 

Exclusion of the Right of Withdrawal 

The right of withdrawal does not apply to contracts: 

1. for goods liable to deteriorate rapidly or having a short shelf-life; 

2. for goods sealed for health protection or hygiene reasons which cannot be returned once  unsealed; 

3. for goods which, by their nature, become inseparably mixed with other items after  delivery.