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.............................................................................
Equipment name *
.................................
Date of sale *
I declare that I have read the User Manual and the Warranty Card. I received the purchased equipment in working order, complete, along with the proof of
purchase.
............................................................................
Stamp and legible signature of the seller *
* To be completed by the seller
*
I declare that I am official NAX Authorized Distributor.
1
Submission of a statement inconsistent with the facts by an entity that is not an authorized NAX Distributor may result in criminal liability of the seller
pursuant to art. 271 and Article 267 of the Penal Code.
No.
Dates
Equipment notification date
Date of completion of repair / Date of device
release
Equipment notification date
Date of completion of repair / Date of device
release
Equipment notification date
Date of completion of repair / Date of device
release
Equipment notification date
Date of completion of repair / Date of device
release
Equipment notification date
Date of completion of repair / Date of device
release
The original repair report is equivalent to the entry on the warranty card.
Warranty card
................................................
Device serial number *
Legible signature of the buyer ...................................................................................................
1
Repair report number
.....................................................................................................
Model *
................................................
Engine serial number
Official Stamp
27
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