Instruction Protocol, Signatures - h/p/cosmos parawalk 2,44m Original Instructions For Use

11.2 Instruction protocol, signatures

By signing this protocol, the authorised h/p/cosmos technician and the h/p/cosmos customer confirm the receipt and understanding of all
warnings, safety information, the performed instruction and commissioning according to form cos15228-03. The customer and user confirm
the receipt of the listed devices including all accessories and options according to the h/p/cosmos delivery note. Disregard of warnings,
disregard of intended and forbidden use, safety notes or precautions as well as unauthorized maintenance or lack thereof and/or regular
safety checks may lead to injuries or even death and/or can damage the device. This will furthermore result in loss of liability and warranty.
Please fill out the instruction protocol and send it back to h/p/cosmos by Fax to +49 86 69 86 42 49, by email to
sales@h-p-cosmos.com or by mail:
h/p/cosmos sports & medical gmbh Am Sportplatz 8
h/p/cosmos sports & medical gmbh
Am Sportplatz 8
DE 83365 Nussdorf-Traunstein
Germany
h/p/cosmos device, model name
name in clear block letters
name in clear block letters
© 2016 h/p/cosmos sports & medical gmbh
DE 83365 Nussdorf-Traunstein / Germany
h/p/cosmos dealer / technician
position / function / department
file: \\quasarf\erp$\article\cos14310pw-v1_1_hpc-en\20160706_cos14310pw-v1.1_hpc-en_instruction_for_use_h-p-cosmos_parawalk.doc
author: fh
customer's (end-user's) stamp / customer address:
device serial number
email@h-p-cosmos.com created 06.07.2016
appendix
date and signature
date and user's signature
printed 06.07.2016 page: 28 of 30