Form - Complaint Protocol

Form - Complaint Protocol in PDF format to download HERE

Complaint Protocol:

(Complete the form and send it back solely in case you wish to file a complaint within legal period. The form must be printed, signed, and sent scanned to the below e-mail address, potentially insert it in the delivery with returned goods).

Addressee
Internet shop:                                 www.HiSModel.com

Company:                                      Radimír Beseda

With the registered office at:         B. Nikodéma 4476/15, 708 00 Ostrava, Czech Republic

CRN / Tax ID:                                04581954 / CZ6207291640

Email address:                              message@hismodel.com
Telephone number:                        00420 736 643 287
 

Sender – The customer filing the complaint

I declare I herewith withdraw from the contract on the purchase of goods and the provision of the services:
Number of tax record on the purchase of goods:
Date of goods/ services order:
Date of goods/ services reception:
Name and surname of the consumer:
Address of the consumer:
E-mail:
Telephone:

The list of goods and services with required complaints:

Catalogue Number:
Product:

Recommended annex: Photography of goods with complaint defect

Description of failure:
 

In                                     On

               (signature)
______________________________________

   Name and surname of the consumer