CONFIRMATION OF DEFECT ASSESSMENT
PROTOCOL ON HANDLING A DEFECT
Online store www.wvagon.com
Address for communication: Dávid Lazar, A. Stodolu 162/12, 971 01, Prievidza, Slovak Republic
Buyer's identification:
Buyer's address:
*Email contact:
*Telephone contact:
Complaint number:
Complaint goods:
Date of purchase of goods:
Date of claim:
Date of receipt of the complained goods:
Proposed method of handling the complaint by the buyer:
*Order number:
*Purchase document identification:
*Buyer's bank account number:
(*-optional data)
Defect:
□ was recognized □ was rejected
Method of handling the complaint in case of recognition:
□ exchange for a new item
□ refund
□ Discount on the purchase price
□ Repair: ..................................................................................................................................................
□ Other:..........................................................................................................................................................
Seller's statement:
………………………………
Seal and signature