FORMULAIRE POUR APPEL DE SERVICE EN

Service Call Form
HCW / MACON / PHNIX

Date *

Customer *

Customer E-mail *

Adress *

City *

Province *

Postal Code *

Phone (home)

Phone (office)

Phone (cell.)

Phone

Fax

Dealer *

Dealer E-mail *

Contact *

Model number *

Serial number *

Installation date *

Break down date *

Note *

First issue checks were made by retailer *

Yes

Note for first issue checks *

Detailed reason for service call *

Send

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FORMULAIRE POUR A​PPEL DE SERVICE EN