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What would you like to share with us?*

What would you like to share with us? I have a question I have an issue with a drink I have purchased

Do you still have the affected product?*

Do you still have the affected product? Yes No

We may need to retrieve the product from you. If ‘YES’ is selected: Please keep your product stored cooled until further notice / until you have been in contact with one of our colleagues.

Which brand is the affected drink?*

Which brand is the affected drink? 5Alive Appletiser Bonaqua Cappy Ciel Coca-Cola Costa Coffee Dasani Eva Fanta Hawai Hollandia Keringnet Minute Maid Pom's Powerade Sprite Schweppes Stoney Topo Chico Valpre Voltic Others

What is the flavor?*

What packaging is the drink in?*

What packaging is the drink in? Can Glass Bottle Plastic Bottle Other

What is the drink size?*

What is the drink size? 200ml 300ml 330ml 400ml 440ml 500ml 750ml 1L 1.25L 1.5L 2L 2.25L Other

How many drinks in total are affected?* (Numbers only)

Expiration Date*

Having trouble locating? This will either be on the neck of the bottle or on the base of the can.

What is the production code of the drink?

Having trouble locating? This code will also be on the neck or base (normally located near the best before end).

Please type your message*

Please note, if you provide any information relating to your health or medical condition, you are agreeing for this information to be processed and reviewed as we address any incidents with our product or packaging.

The reason of the contact*

The reason of the contact Brand Info Commercial & Distribution Corporate Data privacy & subscriptions Digital Channels Health and Nutrition Press Release Product Information Promotion Sponsoring Suggestion

Note: We receive many requests for sponsorship, and unfortunately we are unable to respond to each and every one. Therefore, should you not receive a response to your request within 2 weeks, this means we are unfortunately unable to assist at this time.

Please type your message*

Country Name*

Country name Angola Benin Botswana Burkina Faso Burundi Cabo Verde Cameroon Chad Comoros Democratic Republic of the Congo Djibouti Eritrea Eswatini Ethiopia Gabon Ghana Guinea Ivory Coast Lesotho Liberia Libyan Arab Jamahiriya Madagascar Malawi Mali Mauritius Mayotte Mozambique Namibia Republic of the Congo Reunion Rwanda Senegal Seychelles Sierra Leone Somalia Sudan Tanzania Togo Tunisia Uganda Zambia Zimbabwe

First Name*

Last Name*

Date of Birth*

Email Address*

Country Code

Country code United States (+1) South Africa (+27) Belgium (+32) Spain (+34) Switzerland (+41) United Kingdom (+44) Poland (+48) Germany (+49) India (+91) Luxemburg (+352) United Arab Emirates (+971)

Phone Number

Phone Number Combined

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Address*

Preferred way of communication*

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