notice of defects

customer n°*

invoice n°*

company name*

gender*
no commentMsMr

first name*

surname*

e-mail address*

reason for complaint*
breakage/damage of merchandisetechnical defect of merchandisefalse deliverymissing merchandise

item nr°*

image upload

comment

desired action (without obligation)*
credit notereplacement deliveryexchange

privacy
query privacy / general terms and conditions with check box

[fields marked with an asterisk are mandatory]