Demand Of Assistance Form - Atlantis Land I-Fly Wireless Router ADSL Mode D'emploi

DEMAND OF ASSISTANCE FORM

Fill all the blanks, attach always a copy of the proof of purchase
(Sale Receipt or Invoice), and add it all to the product for which
you are asking for assistance.
Defect:_______________________________________________
_____________________________________________________
Type:__________________ Serial Number __________________
For more information call:________________________________
Phone.:___________Fax:____________ E-mail:______________
Address for sending and retiring of the defective product:
Surname:______________________________________________
Name_________________________________________________
Corporate name (obligatory for the societies)_________________
Zip Code
Street__________________________________________n°.:____
Tax Code or VAT Number (you must always write it):
WARRANTY/GARANZIA/GARANTIE

C ity____________________Contry
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