Warranty Claim Request Form

 

Please check if you are a customer or dealer *
Date of Request: *
Date of Request:
Customer's Name: *
Customer's Name:
Address *
Address
Phone number: *
Phone number:
Date of Commissioning *
Date of Commissioning
Last Service Date: (Proof of service will be requested) *
Last Service Date: (Proof of service will be requested)
Is the machine serviced according to the factory specifications? *
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