RMA formular Temp

Warranty date *

Customer information

Company name *

Street *

Postal Code *

City *

Country *

Contact person *

Telefon *

E-mail *

Requisition number

Product information

Nilan Invoice/order number *

System model *

Other

Item number/item text

Serialnumber/manufacturing number *

Warranty

Date of defect *

Reason for returning *

Other reason

Description of defect *

Attach picture *

Attach picture

Attach picture

Attach picture

Attach picture

Attach consignment note *

Attach delivery note *

Yes, I have read the terms *