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Client's Details: |
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Name: |
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Account Number: |
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Complaint Details: |
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FOREX |
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Cause for the complaint? |
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What do you expect? |
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Please fill additional fields if a specific order is affected: |
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Order ID number: |
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Date and time (GMT): |
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Lots (Volume): |
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Currency Pair instrument: |
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Difference in PIPS: |
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Signature: |
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Date: |
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Customer Signature: |
x |
