MID_PrimoAdvanced_Bedienungsanleitung_0704_e.doc
Return of goods
Page 37/37
10. Return of goods for repair
Please copy, fill in and sign hereafter harmlessness declaration and enclose it for any return
of goods you may send back for repair.
No repair will be performed prior to receiving the harmlessness declaration duly filled and
signed.
Harmlessness declaration
To :
__________________________________________________________________
Attn. :
__________________________________________________________________
From : __________________________________________________________________
Dept. : __________________________________________________________________
Please note that no repair will be performed prior to receiving of this declaration duly
signed by you!
Please send all parts clean from medium and inform us about possible medium wastes
remaining in the part. For this purpose, please use this form. A security specification sheet of
the medium must accompany this declaration in the following cases: Toxical, dangerous or
objectionable media, or media beloning to any dangerous materials class. We inform you
that uncleaned parts lead to additional costs. Extra clean costs will be charged to you.
Furthermore, we reserve us the right to send the parts back to you for cleaning!
Declaration
We herewith confirm that the part(s) sent for repair has/have been cleaned and is/are free of
any liquid and/or solid wastes of the medium and/or cleaning medium: Any eventually
remaining wastes are:
harmless
dangerous, toxic, etc. – Security specifications are attached
Signature of person in charge:
______________________________________
Name of the person in charge in capital letters: ______________________________________
Date: ______________________________________
Company stamp:
______________________________________
