Reclamation

Contact information

Company
Contact person*
Address*
zip code*
City*
Country*
Tel*
E-mail*

Order information

Order number*
Were the lights in operation?*yesno
Usage (hours per day)*
Usage (days)*

Complaint information

Article code*
Reclaimed quantity*
Reason for complaint*damages in transitwrong deliverysampleMissing functionalitydouble deliveriesincorrect orderother, please give details
Replacement or credit note?*replacementcredit note
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Article code*
Reclaimed quantity*
Reason for complaint*damages in transitwrong deliverysampleMissing functionalitydouble deliveriesincorrect orderother, please give details
Replacement or credit note?*replacementcredit note
Upload picture
Upload picture
Upload picture
Article code*
Reclaimed quantity*
Reason for complaint*damages in transitwrong deliverysampleMissing functionalitydouble deliveriesincorrect orderother, please give details
Replacement or credit note?*replacementcredit note
Upload picture
Upload picture
Upload picture
Article code*
Reclaimed quantity*
Reason for complaint*damages in transitwrong deliverysampleMissing functionalitydouble deliveriesincorrect orderother, please give details
Replacement or credit note?*replacementcredit note
Upload picture
Upload picture
Upload picture
Article code*
Reclaimed quantity*
Reason for complaint*damages in transitwrong deliverysampleMissing functionalitydouble deliveriesincorrect orderother, please give details
Replacement or credit note?*replacementcredit note
Upload picture
Upload picture
Upload picture
Article code*
Reclaimed quantity*
Reason for complaint*damages in transitwrong deliverysampleMissing functionalitydouble deliveriesincorrect orderother, please give details
Replacement or credit note?*replacementcredit note
Upload picture
Upload picture
Upload picture
Further comments