Warranty repair request

                                          To the Director of [store name]
                                          [store address]
                                          from [full name]
                                          Address: [address]
                                          Phone: [phone]

                                      REQUEST
                           for warranty repair of goods

On [purchase date] I purchased the following product in your store: [product name].

During the warranty period, the following defects were discovered:
[defect description]

According to Article 8 of the Law of Ukraine “On Consumer Rights Protection”, in case defects are found within the warranty period, the consumer has the right to request free repair of defects.

Based on the above, I REQUEST:
To perform a free warranty repair of the product within a period not exceeding 14 days.

Attachments:
1. Copy of the receipt
2. Copy of the warranty card

4/12/2026                                                    _________________ / [Full name] /
                                                                                    (signature)