Customer service general product form

Please fill out the attached form so we can deal with your problem more effectively. Boxes outlined in red are required fields for form to be submitted.

Owner's name: *

Address:

Please include your mailing address

Home Phone:

Mobile Phone:

Best time to contact me:

Email: *

Product description: *

Product model number and colour: *

Product size (one piece):

Please list product dimensions Height x Width x Depth in mm.

Quantity purchased:

Did you purchase one or more than one. How many square feet/metres did you purchase?

Date you purchased product:: *

Where was the product purchased?: *

What is the store name and town that the product where the product was purchased.

Contact name at store:

Contractor's name:

If a contractor was used to install the product. Please include their name.

Describe the problem:

Do you have your receipt?:

yes

Has anyone from the store visited the site?:

yes

What steps taken to resolve the problem to date?:

Please list any steps that have been taken to fix the problem so far.

Quality Craft

Customer Service

Customer service general product form

QUALITY CRAFT AND OSRAM SYLVANIA ANNOUNCE LICENSING AGREEMENT

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