31
Service Contract
Device Details
Product Name:
MAXXUS 90R PRO
Serial Number: _______________________________________
Date of Purchase: _____________________________________
Accessories: _________________________________________
Type of Use:
Private Use
Personal Details
Company: ___________________________________________
First Name: __________________________________________
Street: ______________________________________________
Post Code / Town/City: _________________________________
E-Mail: _____________________________________________
Product Group:
Bike
Fax. No.*: ___________________________________________
Invoice Number: ______________________________________
Where Purchased: ____________________________________
________________________________________________
Commercial Use
Contact Person: _______________________________________
Second Name: ________________________________________
House Number: _______________________________________
Country: _____________________________________________
Tel.No.: _____________________________________________
Mobile No.*: __________________________________________
Fault Description
Please enter a short description of the error as precisely as possible below:
(For example, when, where and how does the error occur? Frequency, after which period, at what Use, etc ....)
A copy of the proof of purchase / invoice / receipt is attached.
I accept the General Terms and Conditions of MAXXUS® Group GmbH & Co. KG.
I hereby instruct the company MAXXUS® Group GmbH & Co. KG to repair the above defects. In Warranty cases I will not be charged
for the cost. The costs for repairs which are excluded from liability for defects in quality will be charged to me and must be settled
my signature.
Date
Location
Signature
Please be aware that contracts can only be processed if this form has been completed in full. Be sure to attach a copy of your purchase
invoice. Send the fully completed Service Contract to:
Post
*: Maxxus Group GmbH & Co KG, Service Department, Nordring 80, D-64521 Gross-Gerau
Fax
: +49 (0) 6151 39735 400
** Submission by E-Mail is only possible as a scanned document with original signature.
