Consultant information
Store name:
Consultant name:
Consultant E-mail:
End customer information
End customer's name:
End customer's e-mail address:
End customer's home address:
End customer's telephone no.:
Concerning product(s)
Order no.: (Starts with KA or SO)
Control no. on door:
Item no.: (use commas to separate)
Upload photo documentation:
Headline/Subject: (Brief description)*
In-depth description of cause of complaint:*
Possible suggested solution: