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About Us
Affiliations
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Our Product
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Other Info
News and Events
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Media Centre
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Customer Complaint Form
CUSTOMER COMPLAINT FORM
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Name (igoa)
*
First
Last
Email
*
Phone Number (Numera Telefoni)
Current Status (Tulaga o iai nei)
*
NEW APPLICANT
EXISTING APPLICANT
Are you lodging a complaint on behalf of someone else? (O e fa'aulu se fa'aseā e fai ma sui o se isi tagata?)
IF YES, what is the relationship?
IF NO, please fill in details below
Your complaint is regarding: (O lau faaseā e faatatau i)
*
- Please select -
OUR SERVICE (Matou Auaunaga)
OUR PRODUCT (Matou Oloa)
OUR STAFF (Aufaigaluega)
General Other (Isi Mataupu)
If NO to above, Please provide details of your complaint below. (Afai sa e filifilia le LEAI i luga, Fa'amolemole tu'u mai fa'amatalaga o lau fa'aseā i lalo).
If YES, how are you related to the complainant? (Afai IOE, ole a le lua faiā ma lē e ona le faaseā? (Family, Friend, Legal Representative. Please provide details below – Name, relation & contact details. If legal representative – Name & contact details of company)
PLEASE PROVIDE DETAILS OF YOUR COMPLAINT BELOW. (Faamolemole fa'ailoa mai lau faaseā i lalo)
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