Biodom 27 A - Page 57

WARRANTY CARD NUMBER:
BUYER:
NAME AND SURNAME:
STREET AND HOUSE NO.:
CITY:
PHONE NO./GSM: __________________E-MAIL:
DATE OF SALE:
INVOICE NUMBER:
PRODUCT TYPE:
SERIAL NUMBER:
INSTALLATION OF DEVICES
DATE OF INSTALLATION:
NAME OF THE INSTALLATION COMPANY:
STREET AND HOUSE NO.:
CITY:
PHONE NO./GSM:
E-MAIL:
NAME AND SURNAME OF INSTALLER:
SERIAL NUMBER:
STAMP AND SIGNATURE OF INSTALLER:
(FILLS IN AN INSTALLATION COMPANY)
COMPLETED FORM RETURN TO BIODOM