COMPLAINT FORM
First and last name:_______________________________________________________
Address:________________________________________________________________
Mobile/landline phone number:______________________________________________
E-mail address:__________________________________________________________
Order number:___________________________________________________________
Date of complaint:________________________________________________________
Date of purchase:______________________________________________________
Date the problem was encountered:________________________________________
Please tick the problem you encountered with the product:
[__] Inadequate size (different than indicated on the internal label, wrong label)
[__] Defect (hole, abrasion, defective fastening, button missing, belt missing etc.)
[__] Checkpoint tag (anti-theft device)
[__] Used product (visibly worn)
[__] Stains, discolorations
[__] Other (please specify)
_______________________________________________________________________
_______________________________________________________________________
List the care methods you used on the product:
_______________________________________________________________________
_______________________________________________________________________
Details of the defect/fault and circumstances of its discovery:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Requested action (please tick):
[__] exchange of the product for one free from defects*
*the product will be exchanged if it is available in stock on the day the complaint is settled; if
the product cannot be exchanged, refund will be given
HOUSE OF JEANS SP. Z O. O. SPÓŁKA KOMANDYTOWA registered at 21-532 ŁOMAZY, KOZŁY 4 (correspondence address:
HOUSE OF JEANS (LEVI’S® Lee® Wrangler®) ul. Górczewska 124, 01-460 Warszawa) entered into the entrepreneurs register
kept by the District Court in Lublin under the KRS number 0000371904, REGON 060705550, NIP 5372601299, e-mail address:
info@bejeans.eu
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[__] cash refund
Details of bank account for refund:
_______________________________________________________
Additional information:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
I have read and agreed to the Terms and Conditions of the online shop BeJeans.eu and
the complaint policy.
Signature and date:
Reviewer's opinion (complaint review method and signature)**
**To be filled by the distributor of the product
HOUSE OF JEANS SP. Z O. O. SPÓŁKA KOMANDYTOWA registered at 21-532 ŁOMAZY, KOZŁY 4 (correspondence address:
HOUSE OF JEANS (LEVI’S® Lee® Wrangler®) ul. Górczewska 124, 01-460 Warszawa) entered into the entrepreneurs register
kept by the District Court in Lublin under the KRS number 0000371904, REGON 060705550, NIP 5372601299, e-mail address:
info@bejeans.eu
COMPLAINT POLICY
Complaints for nonconformity of the Product to the Purchase Agreement:
1. The basis and extent of the Vendor's liability towards a consumer Customer for
nonconformity of the Product to the Purchase Agreement are detailed in particular in the
Act on The Terms and Conditions of Consumer Sales and amendments to the Civil Code
from 27 July 2002 (Dz. U. No. 141, item 1176, as amended).
2. A notice stating the nonconformity of the Product to the Purchase Agreement and the
Customer's requests for action can be sent by e-mail to: info@bejeans.eu or by post to:
LEVI’S® Lee Wrangler CH WOLA PARK, ul. Górczewska 124, 01-460 Warszawa, Poland.
Whenever it is possible and necessary for the evaluation of nonconformity to the
agreement, the Product in question must also be delivered to the above address.
3. The Vendor will address the Customer's complaint without delay, within 14 days from
the receipt of the Customer's notice. A response regarding the complaint will be sent to
the address provided by the Customer, unless the Customer chooses a different method.
4. In cases where there is a warranty on the Product, the warranty does not exclude,
limit or suspend the buyer's rights arising from the nonconformity of goods to the
agreement.
5. In cases when the Product is exchanged or repaired due to nonconformity, the Vendor
bears the cost of the exchange or repair, including the cost of delivery of the Product for
the purpose of complaint review, exchange or repair.
The defective products should be returned to:
LEVI’S® Lee Wrangler CH WOLA PARK
ul. Górczewska 124, 01-460 Warszawa, Poland
It is unacceptable to make returns in stationary stores BeJeans.eu, as are returns made
in person at the company office and returns sent as packages paid on delivery.
HOUSE OF JEANS SP. Z O. O. SPÓŁKA KOMANDYTOWA registered at 21-532 ŁOMAZY, KOZŁY 4 (correspondence address:
HOUSE OF JEANS (LEVI’S® Lee® Wrangler®) ul. Górczewska 124, 01-460 Warszawa) entered into the entrepreneurs register
kept by the District Court in Lublin under the KRS number 0000371904, REGON 060705550, NIP 5372601299, e-mail address:
info@bejeans.eu
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