
2GNALCR - Rev. 04 - Mar/23
To validate the warranty of your product, it is indispensable to re-sent this form!
For the reseller:
Telephone.:..............................................
Company:................................................
Address:..................................................
................................................................
Location: .................................................
Country: ..................................................
Equipment type:.......................................
Series number:.........................................
Serial number:..........................................
Warranty number:.....................................
Technician:
Name: .....................................................
Last name: ...............................................
Customer I:
Last name/Company:....................................................................................................*
Person to contact:.........................................................................................................*
Street:...........................................................................................................................*
Location:.......................................................................................................................*
Country:........................................................................................................................*
Telephone:....................................................................................................................*
E-mail:..........................................................................................................................*
Customer II:
Last name/Company:....................................................................................................*
Person to contact:.........................................................................................................*
Street:...........................................................................................................................*
Location:.......................................................................................................................*
Country:........................................................................................................................*
Telephone:....................................................................................................................*
E-mail:..........................................................................................................................*
Hereby declare that the manual from the equipment mentioned above was received,
.................................................... ...............................................
Place, rst formation date Customer signature
To the customer
E-mail: ......................................................
( ) New sale of equipment - first utilization.
( ) Equipment for tests - change of place.
( ) Equipment for tests - first utilization.
( ) Final sale - equipment for tests.
Delivery confirmation