h/p/cosmos pluto - Instruction Protocol, Signatures

appendix
file: n:\article\cos14310m5-v1_08hpc-en\20150130_cos14310m5-v1.08hpc-en_instructions_for_use_h-p-cosmos_treadmill.doc
© 2015 h/p/cosmos sports & medical gmbh author: fh email@h-p-cosmos.com created 30.01.2015 printed 30.01.2015 page: 209 of 216
15.3 Instruction protocol, signatures
By signing this protocol, the authorised h/p/cosmos technician and the h/p/cosmos customer confirm the receipt and understanding of all
warnings, safety information, the performed instruction and commissioning according to form cos15228-03. The customer and user confirm
the receipt of the listed devices including all accessories and options according to the h/p/cosmos delivery note. Disregard of warnings,
disregard of intended and forbidden use, safety notes or precautions as well as unauthorized maintenance or lack thereof and/or regular
safety checks may lead to injuries or even death and/or can damage the device. This will furthermore result in loss of liability and warranty.
Please fill out the instruction protocol and send it back to h/p/cosmos via Fax to +49 86 69 86 42 49, or via email to
sales@h-p-cosmos.com or via post
h/p/cosmos sports & medical gmbh Am Sportplatz 8 DE 83365 Nussdorf-Traunstein / Germany
h/p/cosmos sports & medical gmbh
Am Sportplatz 8
DE 83365 Nussdorf-Traunstein
Germany
h/p/cosmos device, model name
device serial number
instructor
name in clear block letters
h/p/cosmos dealer / technician
date and signature
instructed persons / customer / user / operator
name in clear block letters
position / function / department
date and user’s signature
customer’s (end-user’s) stamp / customer address: