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We are at your service to help you with any technical problems. To enable us to do this please fill in the following form as complete as possible and send it to our address.

The yellow highlighted fields are required fields which have to be filled in for sending the form.

Type of machine

Serial number

Commissioned on

Year:

Month:

Day:

Commissioned by

Operating hours

Problem/description of damage

Notes concerning application conditions and service conditions, possible cause of damage

Steps taken so far?

Address

Messrs.

Customer number

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Machine location: Company

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