ATA-ODR『I want to complain』
(Asia-Pacific Trustmark Alliance Online Dispute Resolution)
Personal Basic Data ---------------------------------------------------------------------
Name
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Country
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Email
*
Contact Phone No.(Day Time)
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Contact Phone No.(Night Time)-Mobile
Fax
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Contact Address
*
Supplier's Basic Data -------------------------------------------------------------------
Supplier's Name
*
Supplier's Address
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Supplier's Phone No.
*
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) (
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Supplier's URL:Web-Site
*
Transaction Data : -----------------------------------------------------------------------
Product/Service purchased
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Invoice No.(or Order No.)
*
Date purchased
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Date problem(or dispute) started
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Purchase Amount
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USD
Payment via
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Bank Transfer
Credit Card
Payment On Delivery
Registered Mail
Money Order
Others
Type of problem(or dispute)
*
Advertising Issues
Delivery Issues
Guarantee or Warranty Issues
Product Quality
Selling Practices
Credit or Billing Disputes
Service Issues
Contract Disputes
Details of complaint(or dispute)
Expected resolution
*
Refund
Get a New Product
Don't Need
Others
*
Mandatory Item
Introduction
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Other Organization
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