Which product? (name on packaging) *

Best before date *

LS code *
You will find the LS code just after the best before date.

Store where the product was purchased *
Store name

City where the product was purchased *

Country where the product was purchased *

Reason for the complaint *

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Upload image (5 MB maximum)

Upload image (5 MB maximum)

Your name *

Address *

Address 2 (optional)

ZIP code *

City *

Country *

Telephone *

E-mail*

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