Claim form

Algol Chemicals market area *

Algol Chemicals order number* (You find the order number from the order confirmation)

Customer name * (Company that ordered the goods)

Customer number * (You find your customer number in the order confirmation)

Complaint subject *

Complaint details *

Complaint description * (In English or in your language)

Product code * (You find the code in the order confirmation)

Your Request *

Request description *

Contact person *

Contact email *

Phone number *

Instructions on how to send possible attachments will be available at a later stage.

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