Complaint form
Online store homba.store
Business name: Madlife s.r.o.
Complaints Department: Tokajská 11, 040 18 Košice, Slovak Republic
(hereinafter referred to as “Seller”)
Customer
First name and last name:
Address:
Phone number/ email address:
Complained goods/services
Purchase document number, or warranty card number:
Name:
Date of purchase:
Description of defect:
.............................................................. .............................................................. .............................................................. .............................................................. .............................................................. .............................................................. .............................................................. .............................................................. ........................................
I propose that my complaint be handled in the following way /please tick the desired option/:
□Goods replacement □Goods repair □Refund □Discount from the purchase price □Other ..............................................................
In .................................... date: ……………
............................................
Customer's signature
