“CLAIM FORM” CUSTOMER INFO (*required fields) Company Name*: Country*: Technical Referent*: Direct e-mail*: PRODUCT INFO Technical data label (picture*): Sales document (picture/scan*): Product code: FAILURE DESCRIPTION Defect/Failure description (specify...
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“CLAIM FORM” CUSTOMER INFO (*required fields) Company Name*: Country*: Technical Referent*: Direct e-mail*: PRODUCT INFO Technical data label (picture*): Sales document (picture/scan*): Product code: FAILURE DESCRIPTION Defect/Failure description (specify in details*): Pictures of the machine failure*: Spares changed/used*: Item Description Q.ty Further comments: TECHNICAL RESPONSE/ACTIONS – BY LAVORWASH Warranty Accepted: YES NO Date: Signature:
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