Questions and Complaints
     
 























                





                    

*Customer:
Date:
 
*Detailed Description of
the Product:
Defective Quantity:
 
Product Code :
Sales Note Nr
(Important data for traceability)
O.P. Nr (located on the bottom side of the box)
 
*Name of subscriber:
 
Cargo:
 
Email :
 
Contact Phone:
 
*Descripción del reclamo:
 

Visita de Representante:
Acciones correctivas:
Retirar Producto:
Reponer Producto:
   
* Dato obligatorio para poder
enviar el formulario.