Reconsignment for Warranty Claim/False Order/Revocation

NO DISPOSAL OF THE OLD BATTERIES

Customer information:

Company:
Customer No.*:
Invoice No.*:
Interlocutor*:
Phone*:
eMail*:


Product Details

Part No.*:


Reason for return

Select please*: Warranty Claim (Description of the malfunction)


False Order (Reason of False Order /Description of the required item)


Other (Wrong delivery, Revocation etc. – Please indicate)


*All fields marked with an asterisk (*) are mandatory.





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