Application form

Customer details

First name *

Last name *

Company

City *

Street *

Apartment number *

Postcode *

Country *

Phone *

Email address *

Contact person

Person 1 * Choose Buyer Contractor Investor

First name*

Last name*

Company

Contact phone*

Contact email*

+ Add another person

Complaint subject

Full order number *

Complaint subject * Choose Processing Other

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Installation address

City *

Street *

Apartment number *

Postcode *

Country *

Purchase based on

Invoice no. *

dated *

Contract for order * Choose Yes No

Warranty document

Form * Choose Yes No

Document number *

Delivery document

Document number *

Reason for complaint:

Provide defect description, non-conformity *

Customer expectations *

Notes

Attachments

Photo of label, laser marking, defects, delivery document. max 10 images, 20 MB, jpg/png. Required field.

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GDPR consents

* I consent to the processing of my personal data provided in the form for the purpose of handling the service request by Gór-Stal Sp. z o.o., in accordance with Regulation 2016/679 and the Act of May 10, 2018.

* I consent to the processing of my personal data for future service requests by Gór-Stal Sp. z o.o., in accordance with Regulation 2016/679 and the Act of May 10, 2018.