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notice of defects


Title *
First name / Surname *
Post Code / City *
Country *
Telephone *
E-mail *

My details

Assembly carried out by: *
site: *

defect 1

serial number (from to):
handover date:
brief description / defect:
damage description / reference to picture (number)

Following data must be attached to the form

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Only a fully completed application including a detailed documentation with pictures can be dealt with.

* mandatory field
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