Biodom C15 - Page 4

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WARRANTY CARD No. (No. of boiler):_____________________
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 SERVISER:
(FILLS IN AN AUTHORIZED SERVICE COMPANY)
COMPLETED FORM RETURN TO BIODOM