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1. What name of the company do you want to complain about?
2. What is the address of the company?
3. What product did you purchase?
4. When did you purchase the product?
5. Where was the store located when you bought the defective product? (Add Full address)
6. Add any documents you have as records (receipts, model and serial numbers, etc.)
7. What is your name?
8. How to contact you? (Insert email&phone no.)
9. What's today's date?
Previous year
Next year
Today
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