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Service order / repair movement document
Please fill out this form legibly and completely. If you want a warranty repair, a copy of the proof of purchase as proof of the
existing warranty claim is mandatory. Send the form with proof of purchase in advance by fax to (+49) 821 - 7291973 or email
to info@inazuma-online.com
Customar data
First name, Last Name
Street, house number
Postcode, town
Phone
Email
Product data
Product name
Date of Purchase
Installation carried out by the end customer
Installation carried out by specialized personnel
Description oft he error / damage
Order placement and confirmation
Chargable repair
(1) I am informed that cost estimates are subject to a charge and are to be paid with a flat rate of € 49 plus VAT and shipping costs.
The flat rate does not apply if a repair order is placed.
(2) Warranty repair: If it turns out during the inspection that there is no warranty claim, the customer will in any case bear the inspection and return costs
incurred. In this case, a repair will only be carried out after the customer has approved the order based on a cost estimate.
This can make troubleshooting more difficult or invalidate the warranty!
Datum, Unterschrift
Make sure that the product is packaged with sufficient protection to prevent damage in transit.
Johannes Kurzweil GmbH | Gewerbepark 59 | 08258 Markneukirchen | Phone: (+49) 821 - 72 919 72 | Fax: (+49) 821 - 72 919 73
Serial number
Date of commissioning
Stamp / sign (authorized personnel)
Preparation of a cost estimate (1)
Do not carry out any repair work on the device yourself.
w w w . i n a z u m a - o n l i n e . c o m
Seriennummer
Warranty repair (2)
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