Customer incidence English Español Português Question Title * 1. Please, complete the form in order to solve the incidence Distributor Date Question Title * 2. Datos del contacto y albarán: Contact person name Email: Teléfono: Question Title * 3. Product information Article Cantidad afectada Número de lote (ver la ubicación de lotes en la imagen) Question Title * 4. ¿El artículo esta usado? No Sí En caso de que sí este usado, ¿durante cuanto tiempo? Question Title Place where you can find the batch number in our products Question Title * 5. Please, explain to us the incidence Question Title * 6. Do you have the affected product? Yes No Question Title * 7. If you wish, you can attach photos of the incidence The uploaded files must be less than 16 MB and the supported file formats are PDF, DOC, DOCX, PNG, JPG, JPEG and GIF. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File The uploaded files must be less than 16 MB and the supported file formats are PDF, DOC, DOCX, PNG, JPG, JPEG and GIF. Question Title * 8. If you wish, you can attach photos of the incidence The uploaded files must be less than 16 MB and the supported file formats are PDF, DOC, DOCX, PNG, JPG, JPEG and GIF. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File The uploaded files must be less than 16 MB and the supported file formats are PDF, DOC, DOCX, PNG, JPG, JPEG and GIF. Question Title * 9. If you wish, you can attach photos of the incidence The uploaded files must be less than 16 MB and the supported file formats are PDF, DOC, DOCX, PNG, JPG, JPEG and GIF. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File The uploaded files must be less than 16 MB and the supported file formats are PDF, DOC, DOCX, PNG, JPG, JPEG and GIF. Question Title SEND
