Assistenza di LockTec

Modulo assistenza

Gentili clienti,

per fornirvi un’assistenza rapida e competente, vi chiediamo di compilare il seguente modulo nel modo più completo e dettagliato possibile.

Vi contatteremo al più presto per offrirvi un’adeguata soluzione.

Service Form

Personal data

Company

Anrede*

Mrs.

Mr.

First name*

Family name*

Customer No.

E-Mail*

Telephone*

Street*

Postal code*

City*

Country

Installation address of the system, if different to contact address

Name

Street

Postal code

City

Telephone

Country

Error description

Product and date of purchase

Product group

Produktbezeichnung*

Artikelnummer

Seriennummer

Auftragsnummer

Delivery and installation date

Liefer/Einbaudatum

Is this a case of guarantee?

Guarantee*

There is guarantee

There is no guarantee

Action to be taken

Kundenwunsch*

You want a telephone contact

You need a replacement unit

Frequency of failure

Fehlerhäufigkeit*

Severity of failure

Fehlerschwere*

Detailed failure description*

Browse (PDF, JPG, PNG, GIF)

Datenschutz*

I agree that LockTec GmbH can save and process my message and contact data. The data will be used only to answer the message and then deleted (no disclosure to third parties, no use for promotional purposes).

Assistenza di LockTec

Modulo assistenza

Service Form

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