Agenia pentru Protecia Consumatorilor

Direcia relaii
cu consumatorii

RECLAMAIE
privind calitatea produsului (serviciului)
( ())

nr. __________din _______ __________________2012

1.Numele i prenumele consumatorului

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. . )

Adresa
( )

Telefon____________________________________________________________
( )

2.Denumirea i adresa agentului economic ce a comercializat produsul (a prestat serviciul)

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( , , ( )

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3.Produsul(serviciul) reclamat(productor,data fabricrii,termen de valabilitate,ambalaj, masa)
_____________________________________________________________________________
( ())

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4.Data achiziionrii produsului (prestrii serviciului)

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( ( ))

Bonul de plat (de garanie), chitana

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( , , )

5. Detalii privind deficienele produsului (serviciului ) reclamat

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( ())

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6. Revendicrile consumatorului
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( )
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7.Anexe______________________________________________________________________
()
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8.Semntura consumatorului
Semntura reprezentantului
( ,)

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Data_____ ________________2014

Direciei relaii cu consumatorii

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(
)