Complaint form
Complaint form
Beneficiary:
Beastland Brick Store
Near Gymnasium 9
940 02 Nové Zámky
e-mail: beastland@beastland.eu
Consumer:
Name and surname (company): …………………………………………………………………………………….
Address: ………………………………………………………………………………………………………………….
City and zip code: …………………………………………………………………………………………………………..
E-mail: ………………………………………………………………………….
Telephone: …………………………………………………………………………
Order number: *……………………………………………………………………………………..
Invoice number: ……………………………………………………………………………………………..
I agree to return funds to bank account number:**
SK…………………………………………………………………………………….
Name of the claimed goods and description of the defect:
- ………………………………………………………………………………………………………………………………………… ……..
………………………………………………………………………………………………………………………………………… …………………..
- ………………………………………………………………………………………………………………………………………… ………
………………………………………………………………………………………………………………………………………… …………………….
A date ………………………………………………………………
Signature of the consumer (only if this form is submitted in paper form) …………………………………………..
(*) Entering this data is not mandatory, but it can speed up the administration when returning goods.
(**) The account number is given in IBAN format. If the payment was made to the courier, the buyer will be asked to notify the account number for the refund via e-mail, if he does not provide the account number, the funds will be returned to him by postal order to the address indicated in the buyer's user account or in the withdrawal from the contract.
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