Lost Parcel Form

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MISSING PARCEL CLAIM FORM

Name: Hannah khan

Address: 6 Balmoral Road

Post Code: E10 5ND

Order Number: 100757778

Dispatch Date: 20th August 2019

Courier/Delivery method: Standard Shipping 2-3 days MY HERMES

Courier Tracking Code: 0365675010911581

Product Codes:

ME1490-10

ME1073-8

ME2135-S/M

ME1417-6

14842-6

5009BL-S/M

Name/Description of items:

Callie Snake Print Shirt ME1490-10 1


Size
10
Nikita Brown High Waist Straight Leg Trousers ME1073-8 1
Size
8
Addie Black Ribbed Wide Leg Trousers ME2135-S/M 1
Size
S/M
Dusty Beige Checked High Waist Trousers ME1417-6 1
Size
6
Zunaira Black Side Stripe Wide Leg Trousers 14842-6 1
Size
6
Andie Black Cotton Open Neck Shirt 5009BL-S/M
Size
S/M

For terms and conditions, please go to www.missyempire.com


Please print, sign and return this form via email to info@missyempire.com within 5 calendar days.
MISSING PARCEL CLAIM FORM

Total value of items: 6 items of a total of £87.59

I certify that the items detailed above has not been delivered and that I agree to this claim form being
forwarded to Yodel/Royal Mail/DHL to assist with Missy Empire’s investigation into the lost parcel. I
understand that this information may be used in the compilation of any fraud or theft investigation instigated
by Missy Empire as a result of this compensation claim.

The above statement is true to the best of my knowledge and belief. I make it, knowing that I may be liable to
criminal or civil prosecution, if I have wilfully stated in it anything which I know to be false or do not believe to
be true.

Your signature: _Hannah Khan___________________________________

Date: __29/08/2019_ ________

Are there any comments you would like to make? Please feel free to comment in the below box.

I was home the whole day the delievery apparently arrived however no one rang the bell or
anything and I have checked with neighbours who have said they have not received any
packages either. I have been waiting an extremely long time now. If the items can be all sent
to me again, that would be great, preferably with next day delievery as I have been waiting for
so long.

For terms and conditions, please go to www.missyempire.com


Please print, sign and return this form via email to info@missyempire.com within 5 calendar days.

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