here - BMN

CUSTOMER SERVICE
In
, on
of
,
.
In order to correctly process your complaint or claim, you must fill in all the sections.
1. OFFICE
Code
Name
2. CLAIMANT'S DETAILS
Name or company name
Tax ID No./Company Tax Code
Representative's name (attach documentary evidence)
Tax ID No.
Correspondence address
Town
Postcode
Contact telephone number
Account number
Amount being claimed
When acting under representation, the representative must provide supporting documentation.
3. TEXT REGARDING THE CLAIM/COMPLAINT
(Explanation about the reason behind the complaint or claim, clearly specifying the questions about why a judgement
is being requested)
4. DOCUMENTS PROVIDED BY THE CLAIMANT
(Attach supporting documentation for the claim)
The undersigned declares that he/she has no knowledge of the subject matter of the complaint or claim being substantiated
through an administrative, arbitrative or legal procedure.
Signature of the Claimant / Representative
The information in this document will be processed by BMN and included in a file that they own, in order to manage complaints or claims, with the
assignees (if the case may be) being the Group companies that may be involved in the processing, solely for the purpose described above. To
exercise your rights of access, rectification, cancellation without retroactive effect, cancellation and opposition, you can send an e-mail to the
following address: Servicio de Atención al Cliente, BMN, Paseo de Recoletos, 17, 28004 MADRID.