Palmako FR34-3553-6, Installation Manual

Page: 2 / 37

To be completed by buyer! (Please use block letters)
● A remplir par l’acheteur! (en lettres d’imprimerie, s’il vous plaît) ● Wypełnia
nabywca (drukowanymi literami)
Place of purchase
● Source d’achat ● Miejsce zakupu:
……………………………………………………………………………
……………………………………………………………………………
Sales receipt No.
● Récépissé n° ● Nr paragonu:
.
……................................................................................................
Sales receipt date
● Date du récépissé ● Data paragonu:
…….…...…………………………………………………………………
Delivery date
● Date de livraison ● Data dostawy:
.
…………………………………………………………………………..
Buyer’s address
● Adresse du client ● Adres nabywcy:
.
………………………………………………………………………………..
…………………………………………………………………………………
…………………………………………………………………………………
Telephone
● Téléphone ● Telefon:
...
……………………..……......................................................................
Forwarder:
□ Pick-up □ Others
● Par:
□
Transporteur
□
Propres
moyens
● Przekazywanie:
□
odbiór w sklepie
□
Inne
Description of complaint
● Déscription de la réclamation ● Prosimy zachować części będące przedmiotem reklamacji do czasu jej
rozpatrzenia.
………………...........................................................................................………………....................................................………..
………....................................................………………....................................................……………….........................................
...........………………....................................................………………....................................................………………....................
................................………………....................................................………………....................................................……………..
…....................................................………………....................................................……………….................................................
...………………....................................................………………....................................................………………............................
....................
....………………....................................................………………....................................................……………….......
........................………………....................................................………………....................................................……………….......
........................………………....................................................………………....................................................……………….......
........................………………....................................................………………....................................................……………….......
.............................................……………….....................................................................................................................................
.......................................................................................................................................................................................................
.......................................................................................................................................................................................................
.......................................................................................................................................................................................................
.......................................................................................................................................................................................................
.......................................................................................................................................................................................................