Polityka prywatności Withdrawal form Complete and submit this form only if you wish to withdraw from your contract. Required fields are marked with an asterisk (*). To: RAFKOS Rafał Majewski ul. marsz. Józefa Piłsudskiego, nr 74, lok. 320 50-020 Wrocław NIP: 8943277558 | REGON: 543770039 PEKAO SA 84 1240 6768 1111 0011 6397 5783 Nazwa * Email address * Goods or service being withdrawn * Adres Order or contract reference Order date Additional message Leave this field empty Send withdrawal request