Claim form
SAMPLE to download here :
Addressee: VBB & Partners sro Zbraslavská 12/11, Prague 5 - Malá Chuchle, 159 00
Making a complaint
Date of conclusion of the Agreement: |
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Order number: | |
Name and surname: |
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Address: |
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E-mail address: |
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Description of the Goods being complained about |
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Description of product defects: | |
Suggested method for processing a claim, or providing a bank account number to provide a discount: |
At the same time, I request the issuance of a confirmation of the application of the claim, indicating when I exercised this right, what the content of the claim is, together with my claim, including the date and method of settlement of the claim.
Date:
Signature: