Complaint form

To ensure that we will be able to provide you with swift responses, we would appreciate it if you could submit your complaint in English.

Download our complaints form here

Personal data

Last name / Legal entity name *

First name *

Registration number & LEI

Address (street, number, floor / registered office)

Postcode

City

Country

Phone number

Email *

Contact details (if different from personal data)

Last name / Legal entity name *

First name *

Registration number & LEI

Address (street, number, floor / registered office)

Postcode

City

Country

Phone number

Email *

Personal details of the legal representative (if applicable)

Last name / Legal entity name *

First name *

Registration number & LEI

Address (street, number, floor / registered office)

Postcode

City

Country

Phone number

Email *

Information about the complaint

Investment/agreement reference(s) (ID, project name, transaction references)

Subject matter of complaint (free text)

Date(s) of facts/events generating the complaint

Description of damage/loss/detriment (if relevant)

Other comments or relevant info (optional free text)

Submission & confirmation

Place

Date

Signature

Attachments

Power of attorney (if representative). Contractual docs of investment. Other supporting docs.

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Complaint form

Personal data

Information about the complaint

Submission & confirmation

Attachments

Autoryzowany w UE dostawca usług crowdfundingowych

Autoryzowany w UE
dostawca usług
crowdfundingowych