Repair Request Form - Nufer Medical CERATHERM 600-3 Instruction Manual

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Instruction Manual CERATHERM 600-3
17.

Repair Request Form

REPAIR REQUEST FORM
Address of national representative:
Customer name and address:
Name of contact:
Invoice number:
Model: CERATHERM 600-3
Serial number:
Detailed description of failure or problem:
Anticipated work/repair:
Repair
Warranty repair
Delivery of replacement unit
Other
Date:
14.171.C_GA_Ceratherm_600_3_EN.docx
Tel. :
Accessories:
Description:
Signature:
Nufer Medical AG / 04.07.2014 / DU Seite 31 / 32