RECLAMAIE

privind calitatea produsului (serviciului)

( ())nr. __________din _______ __________________20151.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) __________________________________________________________________

( ( ))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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7.Anexe______________________________________________________________________

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_____________________________________________________________________________8.Semntura consumatorului Semntura reprezentantului( ,) Direciei relaii cu consumatorii ______________________________ ____________________________

Data_____ ________________2015 ( )

Agenia pentru Protecia Consumatorilor

Direcia relaii

cu consumatorii