Froilabo BM340 - Maintenance Contract

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MAINTENANCE CONTRACT
YOUR DETAILS:
Mrs Ms. Mr. Last Name _________________________ First name ________________________
Company name __________________________ Job title __________________________ Service __________________________
Phone _ _ / _ _ /_ _ /_ _ /_ _ / Fax _ _ /_ _ /_ _ /_ _ /_ _ /
Adress __________________________________________________________________________________________________________
ZIP Code _______________________ City _____________________________________________________________________________
YOUR REQUEST (circle your choice):
Service contact Renewal actual contract number: ______________________________________________________
 Kind of devices : __________________________________________________________________________________________
 Temperature : ____________________________________________________________________________________________
 Brand : _________________________________________________________________________________________________
For the freezers:
 CO
2
back up YES NO
 LN
2
back up YES NO
 Number of devices: _______________________________________________________________________________________
 Number of visits desired per year: _________________________________________________________________________
Do you already have a FROILABO maintenance contract?
YES NO
If yes, n° of contract: ______________________________________________________________________________________________
To return by mail at service@froilabo.com