Please fill in this form when the machine is handed over and return it to the distributor. No warranty applications can be
processed until this form is received.
Welger Maschinenfabrik GmbH
Abteilung T.S. (Technical Support)
Postfach 1965
D-38289 Wolfenbüttel
(2) Type:
Machine No.: (see data plate: #)
Equipment fitted:
Pick-up unit 1.50 m
Cutting unit
(3) Customer's address
Name:
Street:
Postcode:
Country:
Phone:
(4) The baler entered in (2) was purchased/used by me.
When the baler was handed over, I was given the operating instructions No. ..................................
including the EU Conformity Declaration. The safety, operating and maintenance regulations
contained therein were explained to me. All safety features for the correct functioning and handling
were demonstrated to me.
(5) Marketing partner's address
Company stamp/signature
(6) The machine was handed over to the customer in accordance with the manufacturer's guidelines.
(1) Handover Date
Pick-up unit 2.00 m
Twine wrapping
Place:
E-Mail:
..............................
Date
..............................
Date
Handover Declaration
RP ................
Pick-up unit 2.25 m
Net wrapping
............................................................
Customer's signature
Importer's address
Company stamp/signature
............................................................
Customer service specialist's signature