Complaint form

The sequential number is assigned when you submit.

Date: Oct 17, 2026

1. Provider details

Company name
Goenlace SAC
RUC (tax ID)
20613495925
Address
Calle Dona Cecilia 119

2. Consumer details

You will receive the copy of the form and our reply here.

3. Product or service purchased

Type

Optional. Use a dot or a comma for decimals.

4. Details of the claim and consumer request