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1. Customer data (please write in block letters)
Name: ..................
Street: ..................
Postal code/Town: ||||||
Country: ...............
Email: ...................
Phone ..................
Date: ....................
Signature: ............
2. Type of fault
Transistor outputs 1 - 4 Short circuit
Servo outputs Dead On Arrival, no function right out of the box
No function anymore Programming on programming track
3. Description of fault (add extra page if necessary)
4. Receipt of payment
Please return the goods with an invoice or receipt! Otherwise no warranty!
6. Address of your retailer
Retailer´s stamp or address
Goods return note
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