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Service request protocol

Mechatronics Instruments B.V.

Service Form:

REPAIR number

R..............................

Date: .........……….....

Distributor information:

Company name:

......................................................………………...…............

Contact person:

........................................................………………….............

Instrument type

......................................................………………...…............

Instrument Serial number

......................................................………………...…............

Part number

......................................................………………...…............

Serial number

......................................................………………...…............

Fault Description: ………………...............................................................................................

..................................................……………………...................................................................

................................................................................................................………………….......

........................................................................................................….....…………………........

Request for:

Repair

Exchange

New

Quotation

Warranty

Urgent

Information















Note: Mechatronics Instruments does not accept parts returned without a REPAIR number and this form. Call, E-mail or fax us for a REPAIR number.

tel+31 (0)229 - 29 11 29

fax+31 (0)229 - 24 15 34

adres.jpgrepair@mechatronics.nl

Fill out this form and return it by fax or E-mail, include a copy with the parcel and send it to;

Mechatronics Instruments B.V.
Service department.

De Corantijn 13
1689 AN Zwaag
The Netherlands

Important: With this we expect that the distributor declares that Bio-hazard items have being sufficiently disinfected!

Name: .....................

Signature: ………………………

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