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