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CUSTOMER CLAIM FORM
Customer Name:
*
Phone:
*
Email:
*
Air waybill number:
*
Weight of package:
*
Claim value:
*
Shipping date:
*
Receiver address:
*
Claim Type:
*
Package Lost
Package delay (E-express service only!)
Others
Compensation to receiver（Please write the English name listed on your checking account):
Claim details:
Item number
Item Name
Brand
Model
Quantity
Price
Total price
Claim amount
1
2
3
4
5
6
7
8
9
10
Total:
Describe what happened:
note：please attach customer air waybill copy and item receipt copy
Signature:
Date:
ANL fill out
Claim Result:
Check the checkbox:
Thank you! The form has been successfully submitted!
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