………………………., ……………………………….

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(Name and Surname of the Customer)
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(Customer’s Correspondence Address)
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(Contact Phone Number)

Import-Export-Pilguni Trading Company Jacek Filipiak
1 Maja Street 24
43-300 Bielsko-Biała
Email: biuro@pilguni.com

COMPLAINT

I hereby submit a complaint regarding the sales contract concluded on ………………………………………… concerning the purchase of the following goods:

  1. ………………………………………………………………… at the price of ……………………………………,
  2. ………………………………………………………………… at the price of ……………………………………,
  3. ………………………………………………………………… at the price of ……………………………………

The aforementioned goods are defective because ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………………………….……………………

I attach / do not attach* photographs illustrating the above-mentioned defectiveness of the goods to this complaint.

The above-described non-compliance of the goods with the contract is significant / insignificant*.

In connection with the above, in the event of recognizing the complaint, I request**:

  1. that the Seller provides a proposal for rectifying the defect, or
  2. I request the exchange of the goods for new ones, or
  3. instead of an exchange, I request the removal of the defect, unless rectifying the goods' compliance with the contract in the chosen manner is impossible or would incur excessive costs compared to the method proposed by the Seller. I acknowledge that when assessing the excessiveness of the costs, consideration is given to the value of the defect-free goods, the type and significance of the defect found, as well as the inconvenience caused to me by another method of resolution.
  4. …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

I am aware that the personal data I have provided will be processed by the Seller for purposes related to the handling of this complaint and fulfillment of related requests, in accordance with applicable legal provisions. I understand that I have the right to request access to my data, correction, deletion, or restriction of processing, to object to processing, and to lodge a complaint with the supervisory authority.

……………………………………………………
(Name, Surname, and Signature of the Customer)

Additional Information from the Seller:
The personal data you have provided will be processed by the Seller for purposes related to the handling of your complaint and fulfillment of related requests, in accordance with applicable legal provisions. You have the right to request access to your data, correction, deletion, or restriction of processing, to object to processing, and to lodge a complaint with the supervisory authority. More information is available in the document "Information from the Data Controller."

  • Cross out what does not apply.
    ** Make a selection, and cross out the rest.