Product defect report
To report a product defect, please providing the following information
Full Name
*
Company
*
Phone Number
-
Area Code
Phone Number
E-mail
*
PRODUCT DETAILS
Name of product
*
Bath No
*
Date purchased
-
Month
-
Day
Year
Date Picker Icon
Details of the defect observed
*
Please upload an image of the defected products
*
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