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Talex Spółka z ograniczoną
odpowiedzialnością
Spółka komandytowa
ul. Dworcowa 9c , 77-141 Borzytuchom
tel.
(59) 821 13 40
Page
37
of
37
WARRANTY FORM NO. ………………
Full name :…......................................................................................................................
Address :........................................................................................................................................
Postal code :……....................................................................................................................................
City :……......................................................................................................................
Telephone No. :….............................................................................................................................
Email address :………………….............................................................................
Means of complaint claim:………...……………………………………………………………..
Name of the subject of complaint: .................................................................................................
Name of the dealer :…………….…………………………………........................................
Proof of purchase -
VAT invoice no. ......................dated .........................20….....
Description of fault / damage:………….............................................................................................
....................................................................................................................................................
....................................................................................................................................................
The agreed date for the complaint resolution :….........................................................................
Means and time of the compla
int resolution :…………………………….…………………………..
…………………………………………………………………………………………………………....
…………………………………………………………………………………………………………....
Date the fault occurred / was discovered: ..............................................20.....
.......................................................................
Date, full name