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Binder COMBIMASS compact - Appendix: Declaration on the Contamination

Binder COMBIMASS compact
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51
CONDITIONS
Price: EUR / piece Delivery time: 6-8 weeks
Delivery: ex works Payment 30 days net
[ ] I hereby confirm that the article(s) listed below has/have not been contaminated by a
dangerous or toxic substance or material as defined by national or regional legislation.
[ ] I herby confirm that the article(s) has/have been cleaned completely and thoroughly.
If the article(s) has/have been exposed to dangerous or toxic materials/substances, I here-
by confirm that the undersigned guarantees complete and thorough neutralisation of
these substances and of any contamination (of the article(s) sent in). I also understand
that this certificate does not affect our obligation to hand over a decontaminated pro-
duct to BINDER GmbH for repairs.
Failure to comply with this rule can lead to claims for compensation.
Declaration on the Contamination of the Following Products:
Product information Reason for sending in
Type:
Article number:
Type:
Article number:
Type:
Article number:
Customer/Dept./Institute:
Street:
Postcode, town:
Contact:
Telephone:
Order number of customer:
Name of authorised person (in block letters) _________________________________________________
____________ _____________________________________ _________________
Date Signature of authorised person Company stamp
Appendix: Declaration on the Contamination

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