Complaint Form

Trwa dodawanie produktów...

COMPLAINT FORM

(this form can be filled out and submitted when You want to lodge a claim due to statutory warranty)

 

Addressee: Codeglade sp. z o.o., Wisniowa 2 street, 72-010 Police, Poland

First name and surname or name of the Customer

___________________

Address of the Customer: 

___________________

___________________

___________________

Phone number of the Customer:

___________________

 

E-mail of the Customer:

___________________

As contact data for providing a response to the lodged complaintand handling a related correspondence I hereby indicate:

  • mailing address,

  • e-mail address.

 

The compliant relates to:

 Sales Contract of (date) _______________ related to the following Product

product ______________________________________

product ______________________________________

product ______________________________________

product ______________________________________

 Contract related to another Service

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

 Other

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

 

Date of determining the compliant reason: ___________________

 

 

Description of the problem:

___________________

___________________

___________________

 

Claim request:

  •  eliminating a defect of the Product or Service

  •  replacement for the Product free from defects

  •  reducing a price of the Product

  •  withdrawal from the Contract

 

The Customer acknowledges that:

The Products can be covered by the Manufacturer or distributor warranty. In this case, the Customer is entitled to lodge a complaint related to the Product using the entitlements resulting from the warranty, by lodging a compliant to the warrantor. Lodging the compliant to the warrantor can be made with an intermediary of the Seller or directly to the warrantor. The Customer can exercise the entitlements in respect of the statutory warranty for physical defects of the Product regardless of the entitlements resulting from the warranty.

 

While lodging the compliant, the Customer agrees for processing the personal data by the addressee in order to adjust the compliant and handle the related correspondence. This consent can be withdrawn at any moment, and the Customer is entitled to a right to get an access to the personal data and to amend it.

 

 

Signature of the Lodging Party

This document is an attachment to the Regulations for the provision of electronic services by buygla.com