Complaint Form
OMPLAINT FORM
Customer Information:
Full name: ................................................................
Address: ........................................................................
Postal code, city: ........................................................
Phone number: ..............................................................
Email address: ..............................................................
Order Details:
Order number: ...........................................................
Purchase date: ................................................................
Date of product receipt: ...................................................
Details of the Complained Product:
Product name: ...........................................................
Product code (if applicable): ..........................................
Description of the defect/issue: ........................................................
..........................................................................
..........................................................................
Customer’s Request:
☐ Replacement of the product with a new one
☐ Refund
Refund Method (in case of a refund request):
☐ Bank transfer to account number: ..........................................
☐ Other method (please specify): ................................................
Attachments:
☐ Proof of purchase (receipt/invoice)
☐ Photos showing the defect of the product
☐ Other documents (if applicable)
Date of complaint submission: ...................................................
Customer’s signature: ...................................................
Complaint Submission Instructions:
Please send the completed complaint form to the email address: contakt@modhanger.com or include it in the return package.
The product should be returned to the following address:
ModHanger, Kokota 118/4, 41-711 Ruda Śląska.
Complaints are processed within 14 business days from the date the product is received by the Seller.
If the complaint is approved, the Seller will inform the Customer about the next steps.