RETURNED PRODUCT FORM
( THIS FORM MUST BE FILLED AS THE RETURNED PRODUCT ACCORDING TO OUR GENENRAL CONDITIONS)
RETURNED TO:

Kam yuen Supermarkest SA
rue de la Vierge Noire 2-4
1000 Brussels
kybrussels@outlook.com
Description of the products Order number Order date Receiver name Received date Returned amount Return reason Returned date

Signiture
date

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