Complaint

Title

Title Mrs Mr not specified

First Name

Last Name

E-Mail *

Telephone

Street *

Number *

City *

Postal Code *

Product name *

EAN-Code (European Article Number)

Best-before date

Batch code

Product available?

Yes/No Yes No

Image proof for complaint

Reason for complaint

Information according to Art. 13 and 14 DSGVO can be found in our privacy policy. https://www.lsh-ag.de/en/privacy-policy?set_language=en