15/15
Version 22.03
Delivery and service form Delivery and service form
Congratulations on your purchase of your Van Raam walking support. This walking support
is produced with utmost care. To guarantee the quality as much as possible Van Raam
produces the cycles according to the ISO 9001:2015 quality standards. Van Raam has
been certified by DNV GL Business Assurance BV.
You will especially enjoy your Van Raam walking support when the walking support is
adjusted to your specifications and when the instructions in the user manual are followed.
Pay special attention on the service intervals who specified in the manual of the walking
support.
To claim warranty and service you should always fill out this form, at least at delivery and
service. This signed form declares that the end user had an instruction on the operation of
the walking support, that the walking support is adjusted to the specifications of the end
user and that the user manual is received.
Fill out when the walking support is delivered
Type Van Raam walking support:
Frame number:
Key number:
Delivered to:
By dealer:
Place:
Date:
Signature user walking support:
Signature dealer:
When available, stamp dealer:
