Complaint – POWERTECK INDUSTRIES

9122556611

Customer Complaint Form

Customer Request & Complaint Form

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Email

Complaint Type

Service / Product Name

Warranty card or Product Serial Number

Bill Number

Product Purchase Date

Outlet And City Name

Complaint Information

Complaint Date

Complaint Details: