SERVICE

ORDER FORM FOR SPARE PARTS

SA-18-5

Ed/rev 0/0
Del 16/4/98

Customer name:

Address:

Tel n°: Fax n°:
INFORMATION ABOUT THE MATERIAL TO BE ORDERED Mounted on machine:

Q.ty

Description

Code

Model

Serial n°
         
         
         
         
         
         
         
         
         
         
         
All data relating to the model and the serial number correspond to those on the grey label to be found on each machine (see directions manual).
INSTRUCTIONS FOR OSCAM:
  • Send repair estimate
  • Send by normal forwarder
  • Send by express courier
For further information please contact:______________________________
NOTES
Date:_________________ Name:____________________________

Signature:_________________________