Product Incident Report

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Complete the form below. Write NO MORE THAN TWO WORDS AND/OR A NUMBER for each answer.

Example

Answer

Product:

rice cooker

Model Number:

1

Price of the Product:

£ 2

Name of the Branch:

3

Problem:

4

Complete the form below. Write NO MORE THAN THREE WORDS AND/OR A NUMBER for each answer.

CUSTOMER’S INFORMATION DETAILS

Name:

Herbert Hewitt

Address:

5

Postcode:

6

Method of payment:

7

Card’s Expiry Date:

8

Method of Compensation:

9

Shopping Frequency:

10