Complaint form

Complaint form

 

..................... on ............. 20 .... r.

 

Addressee:

Kinga Ogiegło Art Studio

ul. J. Piłsudskiego 17/2

32-600 Oswiecim

 

ADVERTISING FORM

CUSTOMER DATA:

First name and last name:

Address:

E-mail:

tel .:

Bank account number: .............................................. .................................................. ..........

 

OBJECT OF COMPLAINT:

Date of purchase:

Product name:

Invoice number / order:

Total value of product: ..............................

 

APPLICATION FOR COMPLAINTS (description of defects and their circumstances):

 

 

 

When defects have been identified

 

 

 

 

REPAIR ACTIVITIES / ADVERTISING REQUEST:

(___) exchange of things free of defects,

(___) removal of the defect,

(___) price reduction,

(___) withdrawal from the contract.

 

 

......................................................... ..

Signature

SIGNATURES OF THE SELLER - DECLARATION CONCERNING ADVERTISING

The complaint has been acknowledged / unrecognized for the following reasons:

 

 

 

Date of receipt of the complaint .....................................

Complaintant .....................................

Date of complaint review .....................................

Further complaint procedure - information for the Client

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