Philips ACT 7583 - Page 3

чÌÌ˚Â Ó ÔÓËÁ‚‰ÂÌÌÓÏ ÂÏÓÌÚÂ:
чڇ ÔÓÒÚÛÔÎÂÌËfl ‚ ÂÏÓÌÚ: _____________________
чڇ ÓÍÓ̘‡ÌËfl ÂÏÓÌÚ‡: _______________________ ‹ Í‚Ëڇ̈ËË: _________________________________ Çˉ ÌÂËÒÔ‡‚ÌÓÒÚË: ____________________________
_____________________________________________
èÓ‰ÔËÒ¸ òÚ‡ÏÔ ÒÂ‚ËÒ-ˆÂÌÚ‡ чڇ ÔÓÒÚÛÔÎÂÌËfl ‚ ÂÏÓÌÚ: _____________________
чڇ ÓÍÓ̘‡ÌËfl ÂÏÓÌÚ‡: _______________________ ‹ Í‚Ëڇ̈ËË: _________________________________ Çˉ ÌÂËÒÔ‡‚ÌÓÒÚË: ____________________________
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èÓ‰ÔËÒ¸ òÚ‡ÏÔ ÒÂ‚ËÒ-ˆÂÌÚ‡
‹ Ú‡ÎÓ̇
(Card #)
êéëëàü
ÅõíéÇÄü ùãÖäíêéçàäÄ ÉÄêÄçíàâçõâ íÄãéç (warranty card) àáÑÖãàÖ (item) __________ åéÑÖãú (type/version) ______ / __
ëÖêàâçõâ ‹
(serial #) ________________________________
ÑÄíÄ èêéÑÄÜà
(date of purchase) ________________________
îàêåÄ-èêéÑÄÇÖñ
(seller)_____________________________
èéÑèàëú èêéÑÄÇñÄ
(seller’s signature)____________________
èÖóÄíú èêéÑÄÇñÄ
(seller’s stamp) _______________________
ç‡ÒÚÓfl˘ËÈ Ú‡ÎÓÌ ‰ÂÈÒÚ‚ËÚÂÎÂÌ ÚÓθÍÓ ÔË Ì‡Î˘ËË Ô˜‡ÚË Ë Á‡ÔÓÎÌÂÌËfl ‚ÒÂı Ô˂‰ÂÌÌ˚ı ‚˚¯Â „‡Ù. (This card is only valid when all information is filled in and the stamp is present.) èéäìèÄíÖãú (buyer)__________________________________
ÄÑêÖë
(address) ______________________________________
íÖãÖîéç
(telephone) __________________________________
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