Reparatii / Reclamaţii

Datele Firmei / Company Information

Introduceţi datele firmei mai jos. / Please provide the following data about your company.ails of the company you take action for.

Denumirea Firmei / Company Name:*

C.U.I / EU TAX nr.:

Cod / Zip*

Oras / City*

Strada, Nr / Street, nr.:*

Country*

Persoana de Contact / CONTACT PERSON

Introduceti va rog datele de contact a persoanei de contact. / Please provide the following data about your contact person.

Prefix*

Nume / Surname:*

Prenume / First Name:*

Telefon / Phone Nr.:*

Adresa de E-mail / E-mail address:*

INFORMATII PRODUS / DEVICE INFORMATION

Va rugam sa ne dati informatiile referitoare la produsul pe care doriti sa il trimiteti la reparat . / Please use the following fields to provide detailed information about your device.

Tipul Produsului / Type of device:*

Numarul de articol (7 cifre) / Product Nr. (7 digit):*

Numarul de Serie / Serial Nr.:

Data livrarii / Date of purchase (dd/mm/yy):

Numar AWB / Delivery note nr.:

Numar factura / Invoice nr.:

Va rugam sa descrieti defectul in casuta de mai jos in limba Engleza sau Germana.

Please describe the failures you experienced and in addition the visible mechanical damages you can find on the surface of the device - if there are. Please write it in English or German.

Gescrirea defectului (Germana sau Engleza) / Fault description (in English or German):*

Optin Data

Opt-in Newsletter

* These fields are mandatory