(only complete and submit this form if you wish to withdraw from the contract)
The sale of the following product or products listed below to be revoked.
If you have not done this already. Please send us images of the damage or unwanted product to our email. info@creationsdepalm.com
Then please proceed with filling this form.
[contact-field label=" <strong>I hereby inform you that I am regarding our agreement.</strong> " type="checkbox"/]
[contact-field label="For confirmation I want to:" required="1" options="Exchange product,Refund" type="radio"/]
[contact-field label="Reason for return" required="1" type="text"/]
[contact-field label="Order number #" required="1" type="text"/]
[contact-field label="Order date on" required="1" type="date"/]
[contact-field label="Recieved date on" required="1" type="date"/]
[contact-field label="Full Name" required="1" type="name"/]
[contact-field label="Address line 1" required="1" type="text"/]
[contact-field label="Address line 2" type="text"/]
[contact-field required="1" type="email" label="Email"/]
[contact-field label="Phone" required="1" type="telephone"/]
[contact-field label="IBAN number" required="1" type="text"/]
[contact-field label="Purchase amount in €" required="1" type="text"/]
[contact-field label="Shipping return fee in €" type="text"/]
[contact-field label="Exchange product name or describe your issue" type="textarea"/]
