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Address of distributor Address of customer
_______________________________________ ____________________________________
Company (customer ID if applicable) Company (customer ID if applicable)
_______________________________________ ____________________________________
Contact person Contact person
_______________________________________ ____________________________________
Street Street
_______________________________________ ____________________________________
Postal code, City Postal code, City
_______________________________________ ____________________________________
Tel./Fax Tel./Fax
Article-type_______________________________ Serial n° _______________________
Date of delivery/Construction year____________ Invoice n° (Copy)______________
Assembling Self-assembly Shop assembly Assembler (Name) ___________________
Transport damage
Delivered by: DHL/Post GLS Forwarding agency
apparent defects
(visible transport damages, notation on delivery note of forwarder, send copy
of delivery note and pictures immediately to ATH-Heinl)
hidden defects
(transport damage is noticed only while unpacking the goods, send claim notice
with pictures within 24 hours to ATH-Heinl)
Other damage
Description of damage
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_______________________________________________________
___________________________________________________________________
Description of needed spare parts
(List of spare parts as enclosure in the corresponding operation manual)
IMPORTANT ADVICE
Damages, which arise from improper handling, failed maintenance or mechanical defects are not within the warranty..
For equipment, which was not installed by an authorized technician of ATH-Heinl, the warranty is limited to the supply
of the needed spare parts.
____________________________________ ______________________________
Place, Date Stamp, Signature