Complaint form

First and Last Name *

E-mail *

Phone Number *

Town, street, and house number *

Postal code *

Machine name and symbol *

Details of the damaged machine and description of the fault

Machine name and symbol *

Machine serial number *

Year of manufacture *

Date of purchase of the machine *

Place of purchase (dealer name and location) *

When and under what circumstances was the machine failure detected? *

Fault description *

Attach filePhotos must include (nameplate, photos of damage, photos of the entire machine)

No file chosen

I confirm that I have read and accept the Personal Data Protection Policy.

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