By selecting "SEND", I  withdraw from the contract for the sale of products ordered in the www.wittchen.com  online store and I declare that all data provided in this form are correct, reliable and correspond to the current factual state.

Please enter your bank account number in the IBAN format (PLXXXXXXXXXXXXXXXXXXXXXXXXXX).

customerFieldset[bank_account]

customerFieldset[city]

customerFieldset[company_name]

customerFieldset[country_id]

customerFieldset[email]

customerFieldset[first_name]

customerFieldset[last_name]

Enter the phone number to which information is to be sent.

customerFieldset[mobile]

customerFieldset[person_company]

customerFieldset[phone]

customerFieldset[post_code]

customerFieldset[regon]

customerFieldset[sms_notifications]

customerFieldset[street]

customerFieldset[vat_number]

Description for a return to showroom field

deliveryFieldset[delivery_salon_id]

Select the preferred method of returning the product.

deliveryFieldset[return_delivery_type]

refund_salon_payment_type_text_description

deliveryFieldset[salon_payment_type]

informationFieldset[req_info]

Enter the number of the document received during purchase. 

refundFieldset[customer_purchase_code]

Enter the number provided in the email confirming order placement or on the VAT invoice.

refundFieldset[order_code]

submitFieldset[cancel]

submitFieldset[save]

Enter the index of the returned product (e.g. 10-1-210-1).

productFieldset_0[article_code]

productFieldset_0[erp_id]

productFieldset_0[product_id]

Please specify the reason for product replacement. This information will enable us to enhance our customer service process.

Return details

Info about product to be returned

Customer details