BLADE
15-1
TI215G0010
Attachments
FORM TO REqUEST TECHNICAL SERvICE
strada Padana superiore, 307 - 20090 Vimodrone (Milano) - italy
tel:
+39 - 02 253051 (Ric.Aut)
Fax:
+39 - 0225305243
e-mail:
Company
Address
Please note our request for intervention for our machine:
Modell
Serial number
Intervention to be carried out at:
Contact person
Telephone
Failure Description
Electrical
Mechanical
Notes
On (date)
li,
Stamp and Signature