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	Application form (ver. PL)	[70.67 KB]
	Application form (ver. EN)	[58.68 KB]

Application form

When submitting the device for the repair, we ask for using the application form and attaching it to the parcel.

After filling in, the application form can be printed out by clicking the button at the bottom of the bookmark.
There is also the possibility to download the application form in PDF version and fill it in manually.

Model
Serial number
	The type of repair
A/ WARRANTY	(stamped warranty card and the proof of purchase are required)
B/ CHARGEABLE
C/ PRE-SALE	(stamped warranty card is required)
Defect description
	Personal details
	Company name
	Private person
Name and surname*
Company name
Address
Post code
City
Telephone number
E-mail address
	* In case of company, please indicate us contact details (name, telephone number, e-mail address)
	Invoice details *
Company name
Address
Post code
City
NIP number
	* To be filled in only when the VAT invoice is required