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:

Order number:

Name and surname:

Address:

E-mail address:

Description of the Goods being complained about

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: