Warranty form Statech s.r.o.

How can we help you?

Warranty form

Company name*

Address*

City*

Customer request nr

State*

Company ID

VAT number*

Name*

Last Name*

Email*

Type*

Date in service

Serial number*

Failure date*

Repair date*

Machine Runninghours

Description of failure*

Description of solution*

Additional Info for this request

Labour hours*

Travel Kilometers (max 160km)*

*if you bought your spare parts yourself, you must provide and invoice

Invoice number	QTY	Description	Parts number	Price	Total price

Total price:

Documents PDF/JPG/PNG/DOC/DOCX

I understand that my personal data will be processed for the purpose of processing my request. More information here * *

Total price: