Instruction Protocol, Signatures - h/p/cosmos Robowalk expander F-M Original Directions For Use

13.3 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 via Fax to +49 86 69 86 42 49, or via email to
sales@h-p-cosmos.com or via post
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
© 2014 h/p/cosmos sports & medical gmbh
DE 83365 Nussdorf-Traunstein / Germany
h/p/cosmos dealer / technician
position / function / department
file: n:\article\cos30022man-en\20140206_cos30022man-en_h-p-cosmos_robowalk_expander_manual.doc
author: fh email@h-p-cosmos.com
customer's (end-user's) stamp / customer address:
device serial number
date and signature
date and user's signature
created 06.02.2014 printed 06.02.2014
appendix
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