SGBL - Reclamation

Claim

Reclamation form

You want to transmit a claim? Do not hesitate to fill in the form here below.

RECLAMATION FORM

First Name:*

Surname :*

Address:*

Telephone:*

E-mail:*

Fax:

Date:

PO Box:

Reference:

Are you an SGBL Client?* Yes No

Branch:

Object of Complaint:

Comments:

Documents enclosed (optional):

Reply Required By: *

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