AFTER SALES SERVICE

CLAIMS FORM

IMPORTANT INFORMATION

You just have used one of our vending machines and you have a problem? Don’t panic, our customer service and relations teams are there to help you! Please fill in the information form below completely and correctly. Your complaint will be dealt with as soon as possible.

Fields marked with * are required. Those information is essential to process your daim. If you have completed a paper daim form provided by the establishment, it will be processed as soon as possible.

Date of incident *

Country *

Postal Code Establishment *

City *

Name of Establishment *

Establishment Type :*

Title *
Mr.Ms.
Last Name *

First Name *

Address *

Adresse 2

Postal Code *

City *

Country *

Email *

Phone number *

IBAN *

Payment used: *

Last 4 digits of your 16-digit card number *

Product category : *

Product subcategory :

Item price

Was the product received?

If you answered yes to the previous question, do you still have the unwanted item?
YesNo
Did the pool provide you with a token ? *
YesNo
Detail the problem:

You can insert any file (photo/video) that will help our customer relations department to understand your situation.

The information collected is subject to computing processing to respond to your request.
Those information are not subject to resale.

By submitting this form, I agree that the information entered will be used to contact me as part of the processing of my complaint*

AFTER SALES SERVICE

AFTER SALES SERVICE

CLAIMS FORM

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