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Name*
Surname*
Company*
VAT code*
(Length 11 characters)
Address*
City*
Zipcode*
Phone*
Email *
PEC/SDI code
(for italian company)
*
Fax
Different invoice address?
Name *
Surname *
Company *
VAT code *
Length 11 characters
Address *
City *
Zipcode *
Phone *
Email *
PEC/SDI code
(for italian company)
*
Fax
Indicate how the material is to be returned after verification and / or repair
Courier *
Client code *
Devices sent for repair
Number of devices sent*
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Devices*:
Model
Serial number
Anomaly
Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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Does the product have a guarantee? *
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No
Does the product have a guarantee? *
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No
Does the product have a guarantee? *
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No
Does the product have a guarantee? *
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Does the product have a guarantee? *
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