Dear Backer,

If your Bank has cancelled your transaction and you weren’t able to pay on Kickstarter, fill out this form and we will try to get you your Pledge in time.

Greetings
Kamil
Fragrance One Inc

Name *
Name
You can find that on our Kickstarter page under "view pledge"
Pledge Level *
Please check which reward you got. (Please be honest, it will save us time)
Optional (i.e. if you'd like to increase your pledge)
Address *
Address
Where should we send the bottles to?