Download Form: Complaint Form

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Complaint Form

Full Name of the Buyer:

Address of the Buyer:

Buyer’s Email:

Phone Number:

Date of Order:

Order Number:

Goods Subject to Complaint (name, code, quantity):

Description of the Defect:

Declaration: I hereby request that my complaint be resolved in accordance with applicable law by repair / replacement of the goods / refund (as applicable).

Date:

Signature: