Complaint Form (Defect Notification Form)

for the online store www.doccariequestrian.com

Correspondence address:
Doccari s. r. o.
Hrádok 2645/9
071 01 Michalovce
Slovak Republic

Customer Information

Full Name:

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Address:

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Phone Number / Email Address:

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Product / Service Subject to Complaint

Purchase Receipt or Warranty Certificate Number:

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Product Name:

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Date of Purchase:

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Accessories Included:

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Description of the Defect

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Requested Method of Complaint Resolution

(Please tick the preferred option)

☐ Product Replacement

☐ Product Repair

If the complaint is resolved by a refund and you wish the funds to be transferred to your bank account, please provide your bank account number (IBAN):

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Place: ______________________________

Date: ______________________________

Customer's Signature:

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