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20
SERVICE CONTRACT
YOUR DETAILS:
Mrs Ms. Mr. Last Name _________________ First name _________________
Company name _________________________ Fonction ___________________ Service __________________
Phone _ _ / _ _ /_ _ /_ _ /_ _ / Fax _ _ /_ _ /_ _ /_ _ /_ _ /
Adress ______________________________________________________________________________________
ZIP Code __________________ City ______________________________________________________________
YOUR REQUEST (circle your choice):
Service contact
Renewal actual contract number: __________________________________________
Kind of devices: ________________________________________________________________________
Temperature: __________________________________________________________________________
Brand: ____ _________________________________________________________________________
For the freezers:
CO
2
back up
YES NO
LN
2
back up
YES NO
Number of devices: ____________________________________________________________________
Number of visits desired per year: _________________________________________________________
Do you already have a FROILABO maintenance contract?
YES NO
If yes, n° of contract: __________________________________________________________________________
To return by mail at [email protected]