Repair-/Disposal Request Telefax Form - Kollmorgen SERVOSTAR 640 Instruction Manual

Appendix
11.3

Repair-/Disposal request Telefax form

To
Kollmorgen Europe GmbH
Pempelfurtstraße 1
40880 Ratingen
Germany
Fax: +49 (0) 2102 9394 3444
Please advice dispatch information for (please select)
¡
¡
of these products:
Product
to this address:
Company
Street
Zip / Town
Country
Specialist Name
Telephone
Telefax
E-Mail
City, Date
116
Repair
Disposal
Serial number
12/2010
Reason ("fault", "return" or similar)
Signature
®
SERVOSTAR 640/670 Instructions Manual
Kollmorgen