Home page » Complaint form

Complaint form

Complaint form
Subscriber name/Company name *
Subscriber number (code) *
Agreement date
Complaint type *:
Invoice number *
Service ID *
(telephone number or service number printed on invoice in brackets by the service name)
Description *
Service location *
Name and Surname
Email address *
Telephone number *
Attachment (max. 2MB)
Enter the code from picture
   
Communication Service Delivery Regulations, Section 7, subsection 7.3
   
I state, that I've acquainted with the www.gtsenergis.pl website regulation and I accept its provisions.
*required field  
 
tworzenie stron www
Monitoring stron