F Care Systems EVRF - Page 3

MANUAL THERMOCOAGULATION - EVRF
Date
26/06
/20
18
Page 3 of 34 Revision N° : 18
GUARANTEE CARD
This card must be returned to F Care Systems within 15 days after reception of the
EVRF.
F Care Systems NV
Oosterveldlaan 99
B-2610 - Antwerp - Belgium
NAME:
*************************************
ADDRESS:
**************************……*********.
*************************************.
POSTAL CODE: ………………………………………………………………………………………
TOWN: *………………………………………………………………………………………….
COUNTRY: *******************************..
EVRF N°: ***********.
received on: ***********.
I, undersigned (name and function) ............................................................ state to
have taken knowledge of the chapter of security instructions of this user’s manual
and I engage, in the name of my establishment, to apply it and to make it apply.
NAME and SIGNATURE STAMP