Full name / company name

Permanent address / registered office / place of business

Date of Birth / Company ID

E-mail

Phone

Address for communication and delivery of the complaint result The outcome of the complaint will be sent to this address—for example, the repaired product, a replacement product, or a notice of rejection.

The customer requests that the results of the complaint be delivered to the operator’s registered office, where the customer will pick them up in person WellYes

Bank account / IBAN *

Preferred method of complaint resolution Product RepairReplacement of the product or a part of itWithdrawal from the Purchase Contract and Refund of the Purchase PriceA reasonable discount on the purchase priceOther / as determined by the seller

Customer Note

Website