Select Document Type —Por favor, elige una opción—DNICEPASSPORTOTHER
Document number
First name
Last name
Email
Phone number
Address
Province
Father or mother (in case of minor)
Reason for the claim / complaint
Claim: Dissatisfaction with the purchased product or the service provided / Complaint: Dissatisfaction with the service provided by the provider.
ClaimComplaint
Select whether it is a product or service —Por favor, elige una opción—PRODUCTSERVICE
Description of the claim / complaint
Receipt number
Product or service in claim
Cost of the Product or service in claim
Date of purchase
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