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Please complete the form below for your complaints.
Date of filling the form:
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Day
Year
Date
Customer Name/Organization:
Address
PO BOX
Physical Address
Town
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Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail
example@example.com
Problem Type:
Please Select
Leaking Tap
Burst
Outlet Crack
Crack On the Sides
Tap Leakage
Wrong Product Delivered
Cancel Order Need Refund
Details/Description of the complaint:
Product Purchased:
Date Of Purchase:
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Month
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Day
Year
Date
Original Invoice/Receipt Copy:
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Photo/Picture Of The product the Complain is About:
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Delivery Note Copy:
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Customer Signature:
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