Thermasis HYDRA PLUS, Installation And User Manual, Page: 43 / 44

START-UP / COMMISSIONING FORM
1/2
END-USER INFORMATION
NAME / SURNAME : _________________________________________________
ADDRESS : _________________________________________________
CITY / PROVINCE : _________________________________________________
COUNTRY : _________________________________________________
E-MAIL / GSM : _________________________________________________
SIGNATURE : _________________________________________________
PRODUCT INFORMATION
PRODUCT MODEL : _________________________________________________
EXTRAS 1 : _________________________________________________
EXTRAS 2 : _________________________________________________
INVOICE DATE and
NUMBER
: _________________________________________________
SERIAL NUMBER : _________________________________________________
COMMISSIONING OF THE DEVICE
DATE OF COMMISSIONING : __________________________________________
AUTHORIZED COMPANY for
COMMISSIONING
: __________________________________________
ADDRESS : __________________________________________
E-MAIL / GSM : __________________________________________
SERVISER NAME / SURNAME : __________________________________________
SERVISER STAMP and
SIGNATURE
: __________________________________________

Warranty period is 2 (two) years, and starts with signing of this document

One copy of this document shall be handed to end-user

General checks on next page should be completed for future reference