Name: *

Last name: *

DNI, passport or foreign document: *

Email: *

Phone:

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Province:

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Guardian's Name: (If applicable)

Type of Item: *

Product

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Product Acquired:

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Type of Claim: *

Claim: Dissatisfaction related to products or services.

Complaint: Dissatisfaction not related to products or services; or, discomfort or discontent regarding customer service.

Details of the claim or complaint: *

Consumer request: *