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Customer Complaint Form

Customer Info

Cusrtomer Name …………………………………………………………………………………………


Address …………………………………………………………………………………………
Phone …………………………………………………………………………………………
Fax …………………………………………………………………………………………
Contact Person , Position …………………………………………………………………………………………
Product Info

Product Name …………………………………………………………………………………………


Manufaturer Name …………………………………………………………………………………………
Model …………………………………………………………………………………………
Serial No. …………………………………………………………………………………………
COMPLAINT

Signature:

Date:

Action

Signature:

Date:

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