Warranty claim
Please copy and enclose with the device!
If the device fails during the warranty period, please clean it and return, accompanied by the completed warranty claim form.
Sender
Company: ......................................................................... Telephone: .................................. Date: .......................................
Address: ..............................................................................................................................................................................
Contact person: ...................................................................................................................................................................
Manufacturer order No.: .................................................... Date of delivery: ..........................................................................
Device type: ...................................................................... Serial number:.............................................................................
Nominal delivery rate:/Nominal pressure: ...............................................................................................................................
Description of fault: .............................................................................................................................................................
..........................................................................................................................................................................................
..........................................................................................................................................................................................
Type of fault:
1. Mechanical fault
2. Electrical fault
Premature wear
Connections, connectors or cables loose
Wearing parts
Operating controls (e.g. switches / push-buttons)
Breakage/other damage
Electronics
Corrosion
Damage in transit
3. Leaks
4. No or inadequate operation
Connections
Diaphragm defective
Dosing head
Other
Operating conditions of the device
Location/description of installation: ......................................................................................................................................
Accessories used if any: ......................................................................................................................................................
..........................................................................................................................................................................................
..........................................................................................................................................................................................
Commissioning (date): .........................................................................................................................................................
Running time (approx. operating hours): ...............................................................................................................................
Please indicate the specific features of the installation and enclose a simple sketch showing materials, diameters, lengths and
heights.
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