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Download: Service Claim Form

In case of any complaints or technical inquires, please fill in the following form with complete details and return by email or fax as soon as possible. Insufficient information might result in delay of response and solution.

Report date:
Agent Information

Company Name

Address

City/Country

Tel

Fax:

Contact Person

Zip code:

Equipment or Module information

Main unit

Model

*Serial No:

Part

*Pert no.
*Serial No:
Warranty: IN OUT
Problem Description

1. Your question or phenomenon of the problem?

2.ERROR MESSAGE displayed on the machine?

3. What action has been taken to solve the problem?

4. Trouble happening frequency : Always Intermittent Random

5. Is it out of box failure: Yes No

6. Whether the connection of accessories and the settings of equipment have been checked ?

7. If possible,please provide your judgment of the trouble:

 
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