Customer Product Complaint

File Number ( internal Use only)

Date

Type of Complaint

Customer Service Product Internal

Sales Rep

Branch/State

Customer

Customer Address

Customer Contact

Phone

Product

Pack Size

Colour

Batch Numbers

Qty Delivered

Qty Used

Match with Job Size?

Yes No

Environment

eg Balcony, External, Bund, etc

Application Method

Substrate

Substrate Preparation

Primer Used

Method of Mixing

Details of other problems or further comments

Supporting Evidence

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If more than 3 images, zip up files and then upload

Supporting Evidence

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Supporting Evidence

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