Complaint Form

ATELIER SOUTH AMERICA is a brand of :

ATELIER GROUP SAC
RUC: 20603068620

Name

Address

Mobile

Document Type

Document Number

E-mail

In case of under-age: father, mother or guardian

Product Service

Amount Reclaimed

Description

Place of the Incident

Claim Complaint

Amount Reclaimed

Description

Description

I accept Terms and Conditions.

CLAIM: Dissatisfaction related to products or service.

COMPLAINT: Dissatisfaction unrelated to products or service, or disconfort with service to the public.

Contact Information