Metal-Fach SMART EKO-CARBON Series, Operation And Maintenance Documentation, Page: 31 / 38

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Warranty claim
Client's details: …………………………………………………………………………………
………………………………………………………………………………….………………
(first name, second name, address, contact number)
Purchase document number: date: ……………………………………………………………
Payment document number: ………..……….……………………………………………….
Seller’s signature: …………………………………………………………………………
Batch and product numbe
r: …………………………………….…………………………
………………………………….………….………………………………………………
Name of the product under warranty: ………………………………………………
………………………………………………………………………………………………….
Warranty period:: valid invalid
Detailed description of the fault: …………………………………………………………………..
………………………………………………………………………………………………….
………………………………………………………………………………………………….
Warranty comencement conditions:
1. Payment confirmation from the point of sale is the condition of warranty procedure comencement.
2. The warranty card is the only condition for free repair.
3. A person filing a claim assumes the obligation to reimburse expenses incurred by METAL FACH Jacek Kucharewicz in the event of an unjustified call of the service team or failure to meet the conditions specified
in points 1 or 2 (net cost of every commenced hour of one service technician’s work - PLN 70, net travel cost PLN 1/km in both directions).
4. Legible signature of the Purchaser to confirm the familiarisation with the warranty procedure conditions
………………………………………………………………………… …………………………………………………………………………
(legible signature of Purchaser) (Warrant's signature)
I declare, that I have read and understood the Warranty Conditions under which I am claiming warranty and I allow my personal data to be processed for the purpose of warranty, in accordance with the Personal
Data Protection Act dated 29/08/1997 (Dz. Ust. No. 133, item 883).
…………………………………………………………………………
(legible signature of Purchaser)
The Producer is obligated to take warranty actions within 14 days from receiving the claim in writing on the produce
r’s form.
Personal data given in this form are processed by Jacek Kucharewicz, conducting economic activity under the company name Metal Fach Jacek Kucharewicz, 16-
100 Sokółka, ul. Sikorskiego 66, NIP (Taxpayer
Identification Number): 545-100-10-62, telephone 48 85 711 94 for the purpose of performing the provisions set forth in the guarantee terms - pursuant to the act of 29 August 1997 on personal data protection
(consolidated text: Journal of Laws of 2014, item 1182). The User has the right to access their personal data, correct them, demand cessation of processing of their personal data, as well as to raise an objection against
processing of data in cases specified by the law. Any correspondence concerning processing of personal data is to be addressed to: Metal Fach Jacek Kucharewicz, 16-
100 Sokółka, ul. Sikorskiego 66. Providing
personal data is voluntary. Pursuant to the act of 29 August 1997 on personal data protection (consolidated text: Journal of Laws of 2014, item 1182), we hereby inform that the personal data given in this form will be
subject to protection against access by unauthorized persons.