Formulář pro reklamaci
ANNEX 1 - COMPLAINT FORM
Addressee: Pharmacium spol. s r. o., Staré náměstí 8, Ostrov, 363 01
Making a claim
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Date of conclusion of the Contract: |
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Name and surname: |
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Address: |
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E-mail address: |
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Goods that are claimed: |
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Description of defects Goods: |
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Suggested method for settling the complaint, if applicable, indicating the bank account number for providing the discount: |
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Date:
Caption: