Company Name (Order Party / Customer) * Company Representative (reclaiming): * E-mail * No. of Delivery Note:(e.g. PDL12345) * Description of Complaint (label at product packing, description of dissonance): * Attachement Files must be less than 5 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt xls xlsx ods rar tar zip. Send to Email subject In order to process your request, we will process your personal data entered into the above form. For further information on processing and protecting your personal data, please click here.