Complaint form

Dear customer,

Do you have any requests, suggestions or complaints regarding one of our products? Your satisfaction is our top priority.
To follow up on your request, please provide the following information about the reason for contacting us:

1. Personal details

Mr.

Ms.

various

Firstname

Surname

Telephone number

Email address

2. Address

Street

Postcode

City

3. Product Information

Product (e.g. "MILRAM Burlander nussig-mild 45%)

Packaging size

EAN (number sequence under the barcode)

Best before date

Charge (Letters or numbers by the BBD)

Place of purchase

Quantity

4. Your Message

Your message

5. File Upload

I have read and understood the data privacy statement. *