Legal Statement - Return

Last name: Bediuk

First name: Tetiana

Street, house number: Robert-Stolz Straße 50

Postal code: 65812

City/town: Bad Soden am Taunus

Concerning the return of order number: 10101413038021

You can find the order number in your Zalando customer account under “Your orders”.
It’s a 14-digit number.

I returned on this date (DD.MM.YYYY): app 17.06.2022

Please specify the date you have handed over the parcel to a parcel station, pick-up point or when the parcel was picked up
from your home..

Please mark the applicable box with a ‘X’.

A copy of the return receipt with the tracking number is attached.

I do not have the return receipt from the courier because: I need to find it, can`t be sure that I
have it

Return tracking number: 741321781442

You can find this number on the return receipt or, if applicable, in an email you have received from the logistics provider.

I returned the following articles:

(Please specify the article number of the articles you returned).
You can find the article number in your Zalando customer account by clicking on the order in “Your orders”, or by clicking on the
product you’ve ordered and checking under ‘Details’. The article number is identified with “Article number”. In case you returned
several orders in one parcel, please list below only the articles belonging to the specific order number of this Legal Statement.

Article no.: 5VA52N00F-Q110ONE000 Size: One Size

Article no.: ARC54Q002-A110ONE000 Size: One Size

Article no.: EA722F00R-Q11000M000 Size: M

Article no.: EA722O014-Q11000M000 Size: M

Article no.: EA851H077-J110ONE000 Size: One Size

Article no.: P6911E009-Q110370000 Size: 37

Place, date: 01.07.2022

Signature:
Your signature should be a calligraphy signature, meaning either with pen or digital/electronically drawn. Your name in letters
does not comply as signature.

Please fill in this Legal Statement completely, incomplete statements will not be accepted. Please
fill in one Legal Statement form per order number and/or tracking number.