Service request

Service request

Please take a moment to fill out this form. Providing as much information as possible will result in a targeted and clear answer from us. This saves you and us time. With our Berenpop team of 8 people, we do our utmost to give you an answer/solution as quickly as possible. Thank you for your understanding and cooperation. Multiple choices are possible for the questions below.
Delivery date*

MaandDagJaar
If you do not remember the delivery date, enter today's date.
Invoice or order number*
If you do not remember the invoice or order number, enter your house number and zip code.
Which of our stores did you buy from?*
Item number and description*
Please provide a description of your service request or complaint below*
Has the item been processed or placed?*

Yes, already processedNo, still in the box
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Name*

First NameLast Name
Address*

Street and house number

Straat en Huisnummer 2e regel

Postal Code

CityCountry
Phone number*
Email*

Confirmation Email
Berenpop tegels en sanitair BV since 1977
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