Complaint form

Step 1

Customer data

Investment data

Step 2

Product number 1

Date of the purchase

Date of noticing the defect

The photo should weight less than 3MB

Product number 2

Date of the purchase

Date of noticing the defect

The photo should weight less than 3MB

Product number 3

Date of purchase

Date of noticing the defect

The photo should weight less than 3MB

Product number 4

Date of purchase

Date of noticing the defect

The photo should weight less than 3MB

Step 3

Step 4

I consent to the processing by Poz Bruk spółka z ograniczoną odpowiedzialnością spółka jawna with its registered office in Sobota, ul. Poznańska 43, Sobota, 62-090 Rokietnica (hereinafter: POZ BRUK), the personal data provided by me in order to contact me by an employee of the Company, prepare and send me a commercial and marketing offer. I have received information about the processing of my personal data and the rights I am entitled to in connection with the above – the content of the information obligation.

I consent to the sending of messages by POZ BRUK to the e-mail address provided by me, including offers containing commercial information within the meaning of the Act of 18 July 2002 on the provision of electronic services.

I consent to the use by POZ BRUK of a telecommunications terminal device for the purpose of direct marketing, in accordance with the Act of July 16, 2004 - Telecommunications Law.

Please leave this field empty.