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Customer complaint form

Customer Complaint Form

 

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Date of complaint

Name and surname / company:  ………………………………………………………………………………………………………….

Address: ………………………………………………………………………………………………………………………………………………

Telephone / e-mail: ……………………………………………………………………………………………………………………………

Date of purchase: ………………………………………………………………………………………………………………………………..

Receipt / invoice no.: …………………………………………………………………………………………………………………………..

Product, quantity: ………………………………………………………………………………………………………………………………..

Date of estimation of defect / damage: ……………………………………………………………………………………………….

Description of complaint (please describe the subject of the complaint and the circumstances of the damage:

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Remember !

Attach photos, where we can see the damages. Without them, the complaint will not be accepted for consideration.

 

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               Place, date                                                                                                             Signature / Stamp