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Complaint form

Advertising form
Internet shop homba.store
MAD Solutions s.r.o., Tokajská 11, Košice 040 18, Slovak Republic
Customer
First and last name:
Address:
Telephone number/email address:
Recommended goods/service
Purchase receipt or warranty certificate number:
Name:
Purchase date:
Description of Defect:
_____________________________________________________________________________
I suggest that my complaint be handled as follows /check as required/:
□Replacement of goods □Repair of goods □Refund □Reduction of purchase price □Other..............................................................
V .................................... of the day: ...............
............................................
Customer's signature