Complaint Form
CLAIM PROTOCOL - ironman4x4.sk
Buyer
| Name and Surname | |
| Address | |
| Date of Birth | |
| Phone | |
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 |
| 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
