Customer Complaint Form - Solar Macs Energy

1. Customer Details

Name *

First

Last

Phone Number: *

Email Address

Physical Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

2. Details of goods supplied or services offered to the customer

Date of purchase or service *

Description of the goods or service including make, model, type of service, purchase method, etc *

3. Details of what the customer complaint is.