Tel
Tel
Date : ……. / ………/……….
Dealer's signature and dealer's stamp
GUARANTEE RECLAMATION FORM N°
Tractor description and horse power
Type of soil, clay %
Dealer
Owner
Name
Address
Code Nb
Address
Customer's signature and client's stamp
To be returned on reception of the machine
We are fully aware of, and accept, the contents of the instruction manual and we hereby adhere to the
clauses of the guarantee.
AGRISEM INTERNATIONAL"Beaucé" 44850 LIGNE - France
Tel: 33 (0)2 40 77 40 48 Fax: 33 (0)2 40 77 45 45
Nom
Delivery date to the user's place
(join a
copie of invoice and dealer's delivery note)
Working width
Serial number of the machine
Surface area of farm
Type of machine
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