Product Return Request

To the Director of [store name]
                                          [store address]
                                          from [full name]
                                          residing at: [address]
                                          phone: [phone]

                                    STATEMENT
                        on returning goods of proper quality

On 12/04/2026 I purchased the following item in your store: [product name] for [amount] UAH, which is confirmed by the receipt dated [purchase date].

The item has not been used; its appearance, consumer properties, seals and labels have been preserved.

In accordance with Article 9 of the Law of Ukraine "On Consumer Rights Protection", I request that you accept the goods back and refund the paid amount of [amount] UAH To bank card.

Reason for return: Wrong size.

Attachments:
1. Copy of receipt
2. Copy of passport/ID

12/04/2026                                                    _________________ / [full name] /
                                                                                    (signature)