1. Name and description of the complained product (product name, order number):

2. Description of the defect / reason for the complaint:

3. Date of purchase:

4. Date of receiving the product:

5. Name and surname / company filing the complaint:

6. Correspondence address:

7. Contact phone / e-mail:

8. Bank account number for possible refund:

9. Complaint request (check the appropriate one):
Repair
Exchange for a new product
Refund
Other (describe below)

Description of other request:

10. Date of submission:

11. Signature (in case of paper submission):

The completed form can be sent by e-mail to:
info@enerotrade.com
or attached to the complaint shipment.