Plastic moulding since 24 years

CUSTOMER PRODUCT / SERVICE COMPLAINT FORM

CUSTOMER INFORMATION

Customer / Company Name:

Mobile / Landline Number::

Email Address:

Address

Customer PO Number:

Contact Name & Number:

PRODUCT INFORMATION

Product Code / Model No:

Product Serial Number:

Invoice Number:

Product Description:

COMPLAINT INFORMATION

Complaint Date & Time:

Complaint Details:

Product Location:

Subject of Complaint:

Reason / Cause: