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:
WBE6233M
Article
description:
Montiss
Electric
Blanket
with
Detachable
Controller
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:
Summary of Contents for Essential Line WBE6233M
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