Establishment of complaint

Invoice number:

Product name:

Enter the name of the complained product

Product code:

Type of complaint:

Reason for complaint:

The contain of package for sending:

Your data:

Name and Surname:

Enter the contact person

Street and house number:

Enter your address ( street + house number)

City:

Enter the name of the town (village)

ZIP / postal code:

Enter postcode

Country:

Phone:

Enter your mobile phone number in a form +421905....

E-mail:

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Bank account:

Type of delivery:

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