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Have you received the order confirmation? Yes No

Have you received the delivery confirmation? Yes No

How did you pay your order? --- Please Select --- iDeal Creditcard Paypal Wire transfer

If you paid by wire transfer, please fill in the date, the name of the bank and bank details of payment.
Did you include the (correct) order number with the wire transfer

Describe damage

What’s missing

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Order number

Brand

Model

Bought when and where

has been repaired before

Complaint/problem

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Old order number

New order number

Additional information

Order number

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