Cover installation date:
Cover INSTALLER
Name/ Corporate name:
Address:
Post code:
Telephone:
Installer's signature and stamp:
Cover USER
Name:
Address:
Post code:
Telephone:
User's signature (after having received the operating instructions that must be provided to the user by the
installer
PROTECTION & SAFETY
GUARANTEE SLIP
Automatic covers
To be returned to your Procopi agency
/
/
City :
e-mail :
City :
e-mail :
60
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2020/06 - Indice de révision : A - Code : 34560
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