STANDARD FORM FOR EXERCISING THE RIGHT OF CLAIM

First name *

Email address *

Last name *

Phone number *

I hereby inform you that I have found a non-conformity of the service (s) with the agreed service. Subject of the claim: *

Ordered on *

Received on *

Preferred way of satisfaction of goods: *

Reimbursement of the amount paid

Replace the defective items according with the agreed

Discount on the price

Free repair under Art. 113 and 114 of the Consumer Protection Act

Preferred way of satisfaction of services: *

Conduct the service in accordance with the contract

Discount on the price

Reimbursement of the amount paid

I apply the following documents: *

Receipt or invoice

Protocols, acts or other documents, establishing the non-conformity at the good or service with the agreed

Other documents establishing the claim on grounds and size

Here you can attach your documents: *

Amount claimed:

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