DREAM MULTIMEDIA DREAMBOX DM 500S User Manual page 53

Please fill out this form clearly and completely. Send it back to your dealer/distributor of your country.
It is very important that you write in clear letters - this accelerates the procedure and makes it more simple.
Without copy of invoice no service-works will be effected.
Please do only return defective parts (no accessories)
Customer-no.
Name/Company
Responsible person:
Street:
Country/Zip code/Place
Returned article:
(name of type)
Equipment (e.g. HDD)
Dream - contact datas
contacted person:
communication by../at..)
Description of mistake / order (please in detailed form and clear letters):
An execution of order can only be effected with detailed description of mistake - statement "defect" is
not clear enough information - in this case we should return box without repairing
reason of return:
By my signature I declare that I agree to repairs up to 30,- € without any consultation with Dream-Multimedia-TV.
This order will not be effected without signature.
Place/Date/Signature
Notice: Please pack the unit in plastic-bag or foil. Please use original packing, if it doesn't exist anymore use a
thick padded box - so we avoid scratches on display and box. Thank you very much.
DREAM - Service-paper
guarantee repair
fee required repair
Date of return:
Given name:
Telephone:
Fax:
E-mail:
Serial-no.:
Soft-ver.:
other: