© Wikora GmbH
Page 6
As of 8/25/2015
Errors excepted.
10 Installation record
The installation has been completed according to DIN and the technical rules in force. In addition, the customer has received
instruction concerning the operation and maintenance.
Place………………………………………………..
Date…………………………………………………………
Customer
Installer
…………………………………………………….
……………………………………………………………….
Signature
Signature
Place of installation:
………………………………………………………………………………………………………………………
Name:
……………………………………………………………………………………………………………………...
ZIP Code/Place:
…………………………………………………..………………………………………………………………….
Street:
……………………………………………………………………...………………………………………………
Phone:
……………………………………………………………………………...……………………………………...
Tank model:
……………………………….
Seria
l number …………….………………..………………
Date of invoice ………………………………………………………...…………………………………………………………..
In the case of reclamation, the receipts for maintenance must be provided as proof. Please complete the data sheet, including
the reason for reclamation, and submit to Wikora.
Submitting the maintenance record does not ensure any promise of guarantee or claim.
