Withdrawal Form For Iram Tech
6 Burns Avenue Southall Greater London UB1 2LP,United Kingdom +447868724308 support@iracomltd.co.uk
I / we hereby revoke the contract concluded by me / us for the purchase of the following goods and the provision of the following service
Customer Name
*
First Name
Last Name
Product Name
*
Order Number
E-mail
*
example@example.com
Phone Number
Delivery Details:
Deliver to: (name)
*
First Name
Last Name
Receivers Ph. Number
Delivery Date
*
-
Day
-
Month
Year
Date
Delivery street address
*
Reason For Return/Withdrawal
Tick Applicable statement
*
Wrong item Delivered
Wrong item Purchase
Item Damaged
Item incomplete
Item does not meet expectation
Other
Personal Message
click to accept terms
*
Yes, I accept Iram's order terms and conditions
Submit
Should be Empty: