Claims-form

Addressee:

Company: BIOCEN LABORATORIES S.R.O.

Registered office: Ocelářská 9, Prague 9

ID: 48592633

Registered: at the Municipal Court in Prague, Section C, File No. 18632

Email: info@neobotanics.cz

Phone: +420 776 187 414

Filing a complaint:

 

Name and surname:

Address:

E-mail address:

Phone:

Order date:

Order number:

Invoice number:

Goods that are being complained about:

 

 

Description of defects in the Goods:

Suggested method for handling the complaint (cross out if not applicable):

  • Refund of the amount paid
  • Exchange of goods
  • Other, please specify:

At the same time, I request a confirmation of the claim, stating when I exercised this right, what the claim is, what method of handling the claim I request, along with my contact details for the purpose of providing information about the claim handling.

Date: Signature: