Complaints Form

Safe2Shop User Complaints Form
(Please only submit a complaints form to Safe2Shop if you have failed to resolve the matter directly with the Merchant)

Your details

	Mr / Mrs / Ms		State / County
	First name		Zip / Post code
	Surname		Country
	Address		Home Tel. No.
			Work Tel. No.
	Town		Email address

Merchant's details

	Merchant name		Merchant URL
	Date Merchant notified of problem		Merchant's response to your complaint

Order details

	Date of order		Total price paid
	Order Ref. No.		Method of payment
	Product/Service Ref.		Location on site
	Product Description		- Or Product Category

Your description of the problem and events leading to this complaint

Please keep a printout of this form for future reference