Customer Problem
Submittal Form


If you have a question or concern about an order or service performed
please use this form to submit your problem to our Customer Service Dept.

Your issue will be resolved and you will be contacted as soon as possible

Thank you for your business!

Please provide the following contact information:

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Enter the order number in question:


Enter the date of the order in question:

-- mm/dd/yy

Choose one of the following problem types:

Problem with an order
Problem with an invoice
Problem with a product or service
Problem with an applied payment

Please explain in detail the nature of the problem:


Choose one of the following methods to be contacted:

E-mail
Phone
In writing


Customer Service Incident Resolution
Copyright © 2005 [American Products, Inc]. All rights reserved.
Revised: 10/04/05