Complaints form

Your Contact Information

First Name: *

Last Name: *

Email: *

Phone:

Complaint Information

Subject of Your Complaint: *

Complaint Category: *Not specifiedDelay in delivering productDelay in providing serviceProduct not deliveredProduct / service delivered not as advertisedTechnical issues with product / serviceRefusal to honour the guaranteeService not provided / partially providedRefusal to provide serviceOther

Product/Service Name:

Your Website:

Complaint Details:*
(please provide as much information as you can):

Date/Time of the incident: *

Persons, involved in the incident (if applicable) :

Ticket ID (if applicable):

Suggest your solution to the issue raised

Suggested solution: *

Type in the characters displayed below to submit your complaint: