Enter your claim

Person Company

Customer details

Customer name and surname*

Customer's email*

Phone number of the customer*

Company name*

Ccompany ID*

City*

Postcode*

Street and No.*

Product details

Name of product*

Price*

Currency*

Product code*

EAN

Amount*

Additional information

Bank connection (account number)*

Date of purchase*

Oder or invoice number*

Description of the defect*

Vyplňte popis závady zboží co nejdetailněji.

Attachments (maximum 5)

Requested method of handling*
Exchange of goods
Repair of goods
Withdrawal from the contract (refund of the purchase price)
Discount on the price of the goods

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