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Guarantee Registration
Model:
Modèle: Modell: Type machine: Modello: Modelo:
Serial No.:
Numéro de série: Serienummer: Serien Nummer: N. di serie:
Número de serie:
Date of Installation/Delivery:
Date de l'installation/de la livraison:
Leverings-/registratiedatum : Kaufdatum:
Data di installazione/Consegna: Fecha de instalación/entrega:
Supplier (name & town):
Nom et ville du Revendeur: Leverancier (naam & stad):
Händler (Name und Stadt): Acquistato presso (Ragione sociale
e città): Proveedor (nombre y ciudad):
Guarantee Registration / Enregistrement de la garantie/ Garantiekaart /
Garantiekarte / Registo da Garantia / Tagliando di Garanzia
Address:
Adresse: Adres: Adresse: Indirizzo: Dirección:
Customer Details
Informations Utilisateur, Klantgegevens, Kundenangaben,
Dettagli del Cliente, Datos del cliente
Contact Name:
Nom de la personne à contactor: Naam contactpersoon: Name:
Nome del contatto: Persona de contacto:
Company Name:
Nom de votre Société: Bedrijfsnaam: Firma: Nome dell’azienda:
Nombre de la empresa:
Telephone No.:
No. Tél.:Telefoonnr: Telefon: N. di telefono: No. de teléfono:
Fax No.:
No. fax.:Faxnr.: Faxnummer: Fax:
Postcode:
Code postal: Postcode: Postleitzahl: Código postal: Codice postale:
37
CB206_15_08_03_IM_ver3.qxd 15/08/2003 13:41 Page 37
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