Return Form - StarLab Aspirator Mode D'emploi

Return Form

Kindly enclose this form with every return!
Recipient
STARLAB INTERNATIONAL GmbH
Neuer Höltigbaum 38
D-22143 Hamburg
 Warehouse  Technical Service
Reason for return
Wrong delivery Product Defect
 
Details :
Item N°
1.
2.
3.
4.
5.
6.
7.
8.
Return handling
Exchange item
Was a decontamination of the returned goods necessary?
If yes, which was the nature of the contamination?
..........................................................................................................................................................
Method of decontamination:
I confirm that the information on this form is accurate and the items detailed are safe to handle.
Date
Passionate for science.
(Please tick)
Wrong item ordered

Returned Items
Lot N° / Serial N°
Credit Note
.................................................................................................
Signature
Company:
Name:
Address:
Customer N°:
Tel. / E-Mail:
Delivery note N°:
internal, filled in by the recipient
Quantity Complete Quantity
 yes
 yes
 yes
 yes
 yes
 yes
 yes  no
 yes  no
Number of boxes
Total number of returned boxes:
Yes No
Return code
Sender
Saleable Units
 no Units:
 no Units:
 no Units:
 no Units:
 no Units:
 no Units:
Units:
Units:
Starlab International GmbH Starlab International GmbH
Neuer Höltigbaum 38 Neuer Höltigbaum 38
22143 Hamburg, Germany 22143 Hamburg, Germany
E-Mail: info@starlab.de E-Mail: info@starlab.de
www.starlabgroup.com www.starlabgroup.com
Tel.: +49 (0)40 675 99 39 0 Tel.: +49 (0)40 675 99 39 0
Fax: +49 (0)40 675 9939 20 Fax: +49 (0)40 675 9939 20
Authorised Managing Director Authorised Managing Director
Klaus Ambos Klaus Ambos
Registry Court Registry Court
Amtsgericht [first instance court] Amtsgericht [first instance court]
Hamburg Hamburg
Register number: HRB 122020 Register number: HRB 122020
VAT ID no. pursuant to VAT ID no. pursuant to
§ 27 a German § 27 a German
VAT Act DE 214 891 717 VAT Act DE 214 891 717
Aspirator · Manual · 21