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Contact form – Service request EN
Laura Scheib
2024-06-17T10:23:23+02:00
Service request
Service contact form
"
*
" indicates required fields
Company
*
Name
Contact person
First name
Last name
E-Mail
*
Phone number
Customer number
Order or invoice number
Serial number
*
Type of defect
Mechanical
Electric
Optical
Packaging
Other
Date of fault detection
DD dot MM dot YYYY
The defect is
Permanent
In phases
Other
Description of the error
Additional information such as information about the environment in which the error occurred, e.g: Time until the fault occurred, indoor/outdoor area, temperature, humidity, vibrations/shocks, possible sources of radio interference
Description of the application
Occurrence of the fault
after thorough inspection
during first use
after some operating time
Other
How many parts are demonstrably defective?
1
2
3
4
5
mehr als 5
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