COMPLAINTS
1.Details of complainant
Name / Organisation
Address
Postal code, town Country
Phone No. Fax No.
E-Mail
Details of person acting on behalf of complaint (if applicable)
Person to be contacted (if different from above)
2.Product description
Reference number of product/order
Description:
3.Problem encountered
 Date of occurrence
  Description:
4.Remedy requested
Remedy requested:
5.Date, signature
Date Signature
     

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