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Service request form

Customer:

Company name*

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Street*

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City*

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Contact person*

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Telephone No.*

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E-mail*

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Delivery address, if different from the customer's (optional):

Company name

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Street

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City

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Contact person

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Telephone No.

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Data of the reported device:

Type and serial No.*

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Invoice number and date of purchase

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Acceptable repair cost (optional)

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Detailed description of the problem*

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Comments

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* required fields

In accordance with the Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, using this contact form, I agree to the processing of my personal data, provided in this form, by the Zakład Energoelektroniki TWERD Sp. z o.o. in Toruń in order to answer my inquiry. The provision of personal data is voluntary, yet necessary for the correct processing of the request. I have been informed about my rights, including the right to withdraw my consent at any time, the right to access, delete and correct my personal data. More in the Privacy Policy. Nieprawidłowe dane

The defective device with the completed form should be sent to the following address:

Zakład Energoelektroniki "TWERD" Sp. z o.o. ul. Aleksandrowska 28-30 87-100 Toruń, Poland

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Service request form

Customer:

Delivery address, if different from the customer's (optional):

Data of the reported device:

The defective device with the completed form should be sent to the following address:

Contact form