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Service Request Form (US)
Address
Device
Problem
Summary
RSrv PL mail_en3
Device owner
Device belongs to me or company I'm employed.
I'm a service partner and device belong to my customer.
Periodic inspection
Periodic inspection during the warranty.
The inspection is mandatory to maintain the 24-month warranty. Check the terms and conditions of the pendrive warranty.
Post-warranty inspection
Owner of the device
TAX ID
No Vat ID
I don't have a Tax ID number
Company name
Address
Address continuation
Postcode
City
Country
Country
E-mail
Phone number
Other delivery address
Other delivery address
Company name (delivery)
Address (delivery)
Address 2 (delivery)
Postal address (delivery)
City (delivery)
Country (delivery)
Country (delivery)
Client / owner contact info
Company name
E-mail
Phone number
Service contact info
Service name
Service E-mail
Service phone number
Consents
Repair cost consent
I agree to cover the costs of repairing the autoclave under warranty if the device has been operated contrary to the user manual. Detailed provisions are included in the "Warranty Terms and Conditions" document. Instructions for use and warranty conditions can be found on the USB supplied with the autoclave.
GDPR Consent
By sending the complaint form, the Customer agrees to the processing of personal data for the purpose of the complaint process. Providing personal data by the Customer is voluntary. The administrator of the data is Enbio Technology Sp. z o.o. based in Gdynia. Personal data are protected under the Act of 29.08.1997 on the Protection of Personal Data (Journal of Laws No. 101 of 2002, item. 926 with later amendments) in a manner that prevents access by third parties. The customer has the right to inspect their personal data, correct it and request its deletion or update.
Privacy policy
I accept the Privacy Policy of Enbio Technology Sp. z o.o. based in Gdynia. I agree to be contacted by a representative of Enbio Technology Sp. z o.o. based in Gdynia through the contact details I left in the form.
Owner of the device
TAX ID
No Vat ID
I don't have a Tax ID number
Company name
Address
Address continuation
ZIP/Post Code
City
Country
Country
Name and surname
E-mail
Phone number
Contact information
Company name
E-mail
Phone number
Other delivery address
Other delivery address
Company name (delivery)
Address 1 (delivery)
Address 2 (delivery)
Postal address (delivery)
City (delivery)
Country (delivery)
Country (delivery)
Consents
Repair cost consent
I agree to cover the costs of repairing the autoclave under warranty if the device has been operated contrary to the user manual. Detailed provisions are included in the "Warranty Terms and Conditions" document. Instructions for use and warranty conditions can be found on the USB supplied with the autoclave.
GDPR Consent
By sending the complaint form, the Customer agrees to the processing of personal data for the purpose of the complaint process. Providing personal data by the Customer is voluntary. The administrator of the data is Enbio Technology Sp. z o.o. based in Gdynia. Personal data are protected under the Act of 29.08.1997 on the Protection of Personal Data (Journal of Laws No. 101 of 2002, item. 926 with later amendments) in a manner that prevents access by third parties. The customer has the right to inspect their personal data, correct it and request its deletion or update.
Privacy policy
I accept the Privacy Policy of Enbio Technology Sp. z o.o. based in Gdynia. I agree to be contacted by a representative of Enbio Technology Sp. z o.o. based in Gdynia through the contact details I left in the form.
If you are human, leave this field blank.
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