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RETURNS FORM
Transaction no.**: .............................................................................................................
Product name: ....................................................................................................................
Short description of defect: ................................................................................................
.............................................................................................................................................
.............................................................................................................................................
Surname, first name: ..........................................................................................................
Postcode / Town: ...............................................................................................................
Street / House no.: .............................................................................................................
Telephone: .........................................................................................................................
Date of purchase: ...............................................................................................................
Signature: ...........................................................................................................................
*Free call
**will be supplied to you by the service centre
