112
Return waybill
1. Customer Data (Please write in block letters)
Name: ...................
Street: ..................
ZIP / City: ................. | | | | | |
Country: ....................
Email: ..................
Phone: .... .............
Date, signature: ..........
2. Information on the ESU product and system environment ( if necessary, use extra page)2. Information on the ESU product and system environment ( if necessary, use extra page)
Item No.: Date of purchase: set address:
Operation mode: AC analog AC Digital DC analog DC Digital (DCC)
Digital System: ESU ECoS Märklin® 6012 ROCO® Digital LGB® Digital LGB MTS
Intellibox® Lenz® Digital Others:
3. Defective error
Lamp home front No sound electric wire
Lamp output back Wrong sound change of direction
engine output short circuit No function from the beginning (DOA)
programming AUX output Miscellaneous:
4. Proof of purchase
attach your receipt / invoice for the return. Otherwise no warranty!
5. Other information: 6. Your retailer:
Retailers stamp or address
•