49
M
AINTENANCE
C
ONTRACT
YOUR DETAILS:
Mrs Ms. Mr. Last Name _________________________ First name ________________________
Company name __________________________ Job title __________________________ Service __________________________
Phone _ _ / _ _ /_ _ /_ _ /_ _ / Fax _ _ /_ _ /_ _ /_ _ /_ _ /
Adress __________________________________________________________________________________________________________
ZIP Code _______________________ City _____________________________________________________________________________
YOUR REQUEST (circle your choice):
Service contact
Renewal actual contract number: ______________________________________________________
Kind of devices : __________________________________________________________________________________________
Temperature : ____________________________________________________________________________________________
Brand : _________________________________________________________________________________________________
For the freezers:
CO
2
back up
YES NO
LN
2
back up
YES NO
Number of devices: _______________________________________________________________________________________
Number of visits desired per year: _________________________________________________________________________
Do you already have a FROILABO maintenance contract?
YES NO
If yes, n° of contract: ______________________________________________________________________________________________
To return by mail at [email protected]
