COMPLAINT CALL
NO.
DATE
Customer data:
Customer's name and surname / Company name..............................................................................................
City:................................................................................... (Postal code / Post office).......................................
Street................................................Telephone.........................................Fax.................................................
Machine name and code
....................................................................... Z/T-.................................
Date
of
purchase
Serial number
Year of
manufacture
1. When and under what circumstances was the machine's failure discovered?
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2. Comprehensive fault description
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3. Customer's proposed mode of complaint call processing
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(legible signature of the customer who filed the complaint)
NOTE: If the complaint is found to be unjustified, all complaint processing costs will
be charged to the complaint applicant.
Customer complaint placed by phone
date..........................................................................
Dealer's stamp
..............................................................
Legible signature of the Dealership Representative
20
