Spare Parts Request Form
Spare Parts Request Form
1. Product Number
Look at Instruction Sheet or packaging
425500060
3. Date of Purchase
Determines in/out of LT warranty 11/06/2010
6. How long the product was in use before the defect was
detected. Pls describe circumstances. not in use yet
7. Date Code (each box has a white sticker 2.5cm x 1.5cm that
defines production batch)
?
Refund/credit note
Out of warranty purchase of spare parts
Source of the Contact (check where appropriate)
Phone ✘
E-mail address
Consumer Contact Information / Delivery Address:
Name Fam. Van Heugten
Address Brandebeemd 19
City code/name 4824 NT Breda
Country The Netherlands
Phone number 06-41624637
Alternative number: work, cell 076-8872608
E-mail address
Spare Parts Request Form
1. Product Number
Look at Instruction Sheet or packaging
50743173073
6. How long the product was in use before the defect was
detected. Pls describe circumstances. zgłoszono niezwłocznie
Refund/credit note
Out of warranty purchase of spare parts
Source of the Contact (check where appropriate)
Phone
E-mail address ✘