Product Complaint Form

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Name *

First

Last

Email *

Phone Number *

Address *

Product Type/Description *

Other, please specify

Product Name *

Batch No. *

Place of Purchase *

Date of Manufacture *

DD/MM/YYYY

Date of Expiry *

DD/MM/YYYY

Brand and Address of Manufacturer *

Date Purchased *

DD/MM/YYYY

Complaint *

Describe complaint in full details

Contact Information

Address: Off Bertil Harding Highway, Kotu East, Kanifing Municipality

Business Hours: Mon-Thu: 8AM - 4PM; Fri: 8AM - 12:30PM

Phone Number: +220 4380632

Email: info@mca.gm