jompiar para la Administacién ig "Fran i a dd Senate ES Junta de a Castilla y Leon HOJA DE RECLAMACION (cLAIMs FORM) ‘Los datos de ext recundro seri reloals pore estableimlonto 0a protador del sarviclo antes de au entogs a consumior obs camped by to eclalshnent er person rendering tho svi prt bing aven to concer nb itis as i sa an ow aii ec incr Cai,isy i cline ha sone "Bid woven ws" ai ay Iii wc lara es Wie See airy ct ina i is “Sic jin Pn ii ‘ln i) _lerclsinone et athende al Sata Art Consure si] no Coven ato : (hoes stl he Cneaner atin Sence) Yee CI ne CD (oner ct ; 7 Datos del reclamante (To bw completed by claimant) i ec io ota a 7 & is aa a Wn sy i a wos) ap at id i i i ea en ‘Motivo de a reclamacién: (Reason for complaint) 7 gd @ = Solicit: (Requests that) Documento que se adjunta (ecturas,folletos, etc.) (Accompanying documents: Invoices, brochures etc.) Acepto someter la reclamacién al Sistema Arbitral de Consumo conforma a lo dispuesto en ol R.D. 29172008, 15 de Febrero, por el quo se regula 1 Sistema Artal de Consumo (herby agree fo submit my lato the Consumer Arbitration Service in ecorderc® with Royal Decroe 231/2008, 15 -Fobruary, to which the Consumer Arbravon Servca is subject von) SUYOEUT NoMNo C) Fecha de lareclamacién: (Dale ofelaim) Firma det reclamante (Claimants signature)