COMPLAINT CARD

(name of a company making a complaint)
(e-mail address for contact, card copy)

1.Date of delivery

(day-month-year)

2.Order number(separated by commas)

3.Items under complaint (separated by commas)

4.Type of product and subject of complaint

5.Defect description

6.Suggested means of removal

(e.g. sending a new element, replacement, technician’svisit)

7.Address of installation

(in the event of the Stollar’s technician visit)
7.1Name and surname of individual customer
7.2Address (postcode, city, street, number)
7.3Phone
7.4Defect removal time (time of customer’s availability at the address provided)
7.5Notes