Complaint Form

CLAIM PROTOCOL - ironman4x4.sk

Buyer

Name and Surname
Address
Date of Birth
Phone
E-mail

Merchant

Company Name	IRONMAN4x4 CEE, s.r.o.
Registered Office	Vyšehradská 4, 851 06 Bratislava
Representation	Daniela Ulrichová
Company ID	35780606
Tax ID	2020222424
VAT ID	SK2020222424
Commercial Register SR	registered in MS Bratislava III, section Sro 21003/B
Bank Account	SK36 0900 0000 0051 1981 8435 held at SLSP
Phone	0910 124 459
E-mail	shop@ironman4x4.sk

Claimed Product:

Purchased on:

Description of Defect:

Method of Claim Resolution (Mark the specific method of claim resolution):

• defect removal
• discount from purchase price
• withdrawal from contract

Attachments - add details:

• proof of purchase

In ................................... on .......................

buyer's signature