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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