COMPLAINT FORM

COMPANY / PERSON DATA

Name

Name

Surname

Company name

Street, number of the house / flat

City

Postal Code

CONTACT PERSON

Name

Surname

Phone number

E-mail

DATA RELATING TO GOODS IN COMPLAINT

The type of product akumulator bateria ogniwo prostownik

Type

Number of items in complaint

Date of purchase (dd.mm.yyyy)

Description of defects

Invoice number

Invoice date (dd.mm.rr)

Seller

Transportation when buying własny nabywcy sprzedawcy