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Send order feedback
Use the following form to send feedback on certain delivery or order. Please fill in delivery details as accurately as possible, to ensure the issue can be traced correctly.
Fields marked * are required
Reporter (your) contact information
Reporter name
Reporter phone number
Reporter e-mail
Please fill in your phone number and/or e-mail, so we can contact you if needed.
Customer information
Customer no:
Name:
Anonymous
Phone number:
E-mail:
« Copy values to reporter information
Issue information
Delivery date
Delivery note
Row number
EAN code
Product name
Amount
Unit
Issue reason
Additional information
Attachment
Send order feedback
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