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MB-400 Deutsch
Service-Form / Service-Formular / Formulaire de service / Modulo d’assistenza
Please complete this form in block letters and send it to us with the product.
Bitte dieses Formular in Blockschrift ausfüllen und mit dem Produkt einsenden.
Veuillez remplir en majuscules le présent formulaire et l’envoyer en même temps que le produit, s.v.p.
Si prega di compilare il presente modulo in stampatello e di inviarlo insieme al prodotto.
Name/Name/Nom/Nome:
_____________________________________________________________________________
Street, No/Straße, Nr./Rue, numéro/Via, n. civico:
_____________________________________________________________________________
Zip/city/PLZ, Ort/Code postal, ville/CAP, località:
_____________________________________________________________________________
Country/Land/Pays/Paese:
_____________________________________________________________________________
Tel/Tel./Tél./Tel.:
_____________________________________________________________________________
In case guarantee does not apply: (please check box)
Liegt kein Garantiefall vor: (bitte ankreuzen)
Si le produit ne bénéficie pas de la garantie: (cocher la mention utile, s.v.p.)
Se non si tratta di un caso che rientra nella garanzia: (segnare con una croce ciò che interessa)
Return the product without having repaired it and charge me the cost of transportation.
Schicken Sie das Gerät bitte unrepariert und gegen entstandene Transportkosten retour.
veuillez renvoyer l’appareil non réparé, en facturant les coûts de transport correspondants
Vi preghiamo di rispedire l’apparecchio senza riparazione, contro rimborso di spese di
trasporto eventualmente sostenute.
Repair the product and charge me the cost.
Reparieren Sie das Gerät gegen Berechnung.
veuillez réparer l’appareil contre facturation
Vi preghiamo di riparare l’apparecchio contro fatturazione.
Submit me an estimate of approximate cost of repair (estimate is chargeable)
Erstellung eines kostenpflichtigen Kostenvoranschlages
veuillez nous soumettre un devis payant
Redazione di un preventivo di spesa a titolo oneroso.
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