Date of filing
.................................................................................................................................................................................
The exact description of the damage and how to resolve:
......................................................................................................................................................................................................................
............................................................................................................................................
Repairs:
.................................................................................................................................................................................
name, surname
.................................................................................................................................................................................
Date, signature, stamp
PERFORMED WARRANTY REPAIRS
Date of filing
.................................................................................................................................................................................
The exact description of the damage and how to resolve:
......................................................................................................................................................................................................................
............................................................................................................................................
Repairs:
..................................................................................................................................................................
name, surname
.........................................................................................................................................................
Date, signature, stamp
Details of the buyer:
..................................................................................................................................................................
name, surname
Address:
..................................................................................................................................................................
town / village/ post code
..................................................................................................................................................................
street , block, apartment contact phone
A shopping center:
.........................................................................................................................................................
name
..................................................................................................................................................................
town / village/ post code
..................................................................................................................................................................
street , block, apartment contact phone
Name and type of product:
.........................................................................................................................................................
Date of Sale:...............................................................................................................................
day, month, year
Seller:........................................................................................................................................
name , surname
.........................................................................................................................................................
I refuse to carried out the checking of complexity and functionality of the product purchased in the store.
Valid text ishould be highlighted in the box with x
Buyer: ..................................... Seller: .....................................
signature signature
PERFORMED WARRANTY REPAIRS
EN
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