Complaint form

Defect notification form

of the online store https://www.biovoxel.tech/

Address for communication: Biovoxel Technologies s.r.o., Kamenná 3, 841 10 Bratislava, Slovakia

Customer

Name and surname:

Address:

Telephone number:

E-mail address:

Goods/service claimed

Number of the proof of purchase or of the warranty certificate:

Name:

Date of purchase:

Accessories:

Description of the defect:

______________________________________________________________________________

I propose that my claim be settled in the following manner /tick as required/:

□Replacement of the goods □ Repair of the goods

If the claim is settled by a refund and you wish the money to be sent to a bank account, please state its number:

In .................................... on: …………………

............................................

Signature of the customer

E-Shop