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Version 22.03
Delivery and service form
Congratulations on your purchase of your Van Raam tricycle. This bike 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 B.V.
You will especially enjoy your Van Raam bike when the bike 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 bike.
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 tricycle, that the tricycle is adjusted to the specifications of the end user and that the
user manual is received.
Fill out when the tricycle is delivered
Type Van Raam tricycle:
Frame number:
Key number:
Delivered to:
By dealer:
Place:
Date:
Signature user bike:
Signature dealer:
When available, stamp dealer:
