COMPLAINT FORM

CONTACT DATA OF THE COMPLAINING PERSON:

Name and Surname / Company Name:

Contact phone:

E-mail:

Address:

Street

P. Code

Town

Country

DESCRIPTION OF THE PRODUCT IN QUESTION:

Product Name:

Product Weight:

Product Quantity:

Product identification data - attach a photo of the complete product identification data (jpeg or png file, max 10MB in total):

Total: 0 MB

You will find the product identification data:

(1) foil packaging - on the reverse (second side), in the lower right corner;
(2) cardboard packaging - printed on the right or left side of the packaging.

They are printed in black ink and consist of several numbers. These numbers encode the product data necessary to carry out the complaint process: batch number and date and place of production.

REASONS FOR COMPLAINT:

Please select the appropriate option from the list:

Add pictures presenting reasons of your complaint (jpeg or png, total max 10 MB):

Total: 0 MB

Description of the situation:

Should you require any assistance in completing this form, please call (+48) 58 662 43 15. The service is available in Polish or English.

In connection with the submitted complaint, I agree to the processing and use of my personal data by Aviko sp. z o.o. with its seat in Gdynia, ul. T. Wendy 15 for the purposes of resolving the complaint, and for marketing purposes in the scope defined in the Privacy Policy.