Article number*
EAN Code
Order number
Title
First name*
Last name*
Street*
House number*
Postal code*
City*
Country*
Email*
Phone
Defect description*
Photo from the top of the pan (jpg/png)
Photo from the bottom of the pan (jpg/png)
Photo of serial number (jpg/png)
Proof of purchase (jpg/png)
Customer type
Amazon clientOther client
I agree to the storage of my data.