IFB 28BC5 - Customer Copy

CUSTOMER COPY
SERVICE STATION COPY
Mr./Mrs./Ms
Address
Pin code :
Telephone No.: (R)
(0)
Model Name:
Serial No.:
Date of Purchase:
Cash Memo No.:
Products Owned by the customer:
Mr./Mrs./Ms
Address
Telephone No.:
Model Name:
Serial No.:
Date of Purchase:
Cash Memo No.:
Dealer Name and:
Address stamp:
Products owned by the customer ( Please tick in the appropriate box)
Washing machine
Car
Refrigerator Colour Tv 100% clothes dryer Dishwasher
Air conditioner