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Miejscowość, Data

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Imię i nazwisko
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Adres
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Telefon, e-mail
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Numer PESEL
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Numer rachunku

REKLAMACJA
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(opis problemu)

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(oczekiwania wobec banku, np. zwrot niesłusznie pobranej prowizji)

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(preferowana forma odpowiedzi: list, e-mail)

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(lista załączników)

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Czytelny podpis

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