SERVICE

REPAIR FORM

SA-18-4
Ed/rev 0/0
Del 16/4/98

ATTENTION: this form has to be filled out by the customer and enclosed to the material sent to OSCAM for repair or replacement. All parts arriving without this form will not be considered.

Customer name:

Address:

Tel-n°: Fax-n°:
INFORMATION ABOUT THE MATERIAL TO BE REPAIRED
Description:
Code:
Mounted on machine:
model:
serial n°: construction year:
All data required in this space correspond to those on the grey label to be found on each machine (see directions manual).
DESCRIPTION OF THE PROBLEM:

 

 

 

 

 
INSTRUCTIONS FOR OSCAM:
  • Send repair estimate
  • Repair in any case
For further information please contact Mr._________________________
Date:_______________ Name:__________________

Signature:______________