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Please enter the Retailer Name

Transaction details

Please enter a valid date
Please enter a valid amount
Please enter a valid amount
Please enter a valid date
Please describe the goods.

For example, the make, colour, size and quantity.

If you are only disputing ‘some of’ the transaction amount please also explain why here.

How were the goods faulty or defective?

Please describe how the goods were faulty, for example, broken parts.

Please describe what happened to the goods
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Please keep the evidence safe, we may need it to support your claim.
We may need this at a later date to support your claim.
What contact have you had with the retailer to try and resolve things?