Complaint Form

Customer Information Reporting a Complaint

Company name

NIP

Contact Person

Enter your phone number

Enter your email adress

Email for customer notifications

DATA RELATING TO THE PRODUCT CLAIMED

VAT invoice number

Luxon order number (Information provided on FV)

Full luminaire code

Luminaire 1

Quantity

Full luminaire code 2

Luminaire 2

Quantity

Full luminaire code 3

Luminaire 3

Quantity

Full luminaire code 4

Luminaire 4

Quantity

Reason for the complaint (Detailed description of the defect/damage to the product and any comments)

SHIPPING AND COLLECTION DETAILS - Pickup/Shipping address - Product installation location

SHIPPING AND COLLECTION DETAILS - Pickup/Shipping address - Product installation locationAdresse für Abholung/Versand: Installationsort des Produkts

Street Address

Zip code

City

Collection of the parcel by Luxon (paid)

Yes

No

Shipment dimensions (if YES is marked above)

Length (cm)

Height (cm)

Width (cm)

Weight (kg)

Quantity (pcs)

Upload

Upload attachments (Optional)

Maximum file size: 16.78MB

e.g. photos, FV, Sales Agreement

Consent for a Complaint

I consent to receive commercial information from Luxon Sp. z o.o. via electronic means of communication as defined in Article 10 of the Act on the provision of services by electronic means of 18 July 2002 (Journal of Laws of 2018, item 650).

Consent for a Complaint

I declare that I have read the privacy policy and I consent Luxon Sp. z o.o. to the processing of the data I have provided for the purposes of marketing their own products and services.

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Customer Information Reporting a Complaint

DATA RELATING TO THE PRODUCT CLAIMED

SHIPPING AND COLLECTION DETAILS - Pickup/Shipping address - Product installation location

Shipment dimensions (if YES is marked above)

Upload