Pen Complaint Form
Report an issue with your pen and help us improve our products and service.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Pen Brand
*
Please Select
Brand A
Brand B
Brand C
Other
Pen Model/Name
*
Type of Pen
*
Ballpoint
Gel
Fountain
Rollerball
Marker
Other
Color of the Pen
Please Select
Black
Blue
Red
Green
Other
Where did you purchase the pen?
*
Date of Purchase
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please select the issue(s) you are experiencing with the pen
*
Ink not flowing
Pen leaking
Broken or damaged body
Cap/clip issue
Other
Describe the issue in detail
*
Have you taken any actions to resolve the issue? If yes, please specify.
Upload photos of the pen or proof of purchase (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
What resolution are you seeking?
Replacement pen
Refund
Repair
Other
May we contact you for further details if needed?
*
Yes
No
How satisfied are you with our complaint process so far?
1
2
3
4
5
Submit Complaint
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