Montiss DELUXE, User Manual, Page: 19 / 42

19
SERVICE FORM
Unfortunately we CANNOT handle any service forms that have been completed unclearly or partly.
Therefore please always fill in the service form as clearly and completely as possible!
THE PRODUCT
Article number: WBE6245M
Article description: Montiss Electric Polar Fleece Blanket Deluxe
Shop of purchase:............................................................................................................................……
Date of purchase:...................................................................................…………………………………………….
YOUR DATA
Name:....................................................................................................................................................
Address:.................................................................................................................................................
Postal code:...........................................................................................................................................
City:.......................................................................................................................................................
Telephone:.............................................................................................................................................
Fax:........................................................................................................................................................
E ‐ mail:...................................................................................................................................................
DESCRIPTION OF THE PROBLEM
...............................................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
You can send this form, together with the proof of purchase, to:
Postal address: Van den Berg Products BV, IJzerwerf 10 ‐ 12, 6641 TK Beuningen, The Netherlands
Fax: (+31) 24 345 44 29
E ‐ mail: service@vdbergproducts.com