COMPLAINT FORM
Addressee:
Mikita Ioksha ByEXchainge
ul. Myśliwska 44b/21 80-283 Gdansk
Office - ul. Mostowa 1/37 80-778 Gdansk
NIP: PL9571172006
Phone: +48735885806
email: byexchainge@gmail.com
Details of the Customer / person complaining about the goods: (name and surname, address, e-mail address, telephone number) : …………………………………………………………………………………………………….…………………………..
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Subject of the complaint (including name of the product, gross price, quantity, description):
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Invoice/receipt number (if applicable): …………………………………………………………………………………...
Delivery address: …………………………………………………………………………………..………………………….
Filing a complaint (including: description of defects, circumstances of their occurrence): ……………………………………………………………………………………………………………………………………………
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Date of noticing the defect: ………………..………………………………………………..…………………………………………………………
Determination of the request
• replacement of the item with a defect-free one,
• removal of the defect (repair),
• price reduction,
• withdrawal from the contract.
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Date and signature
(if the declaration is made in writing)