Request for accessories and repairs

Name*

Tradename*

Email*

Address*

Postal code*

City*

Tax id number*

Phone*

Fax (optional)

Device information

Model*

Serial number*

Warranty state

Out of warrantyIn warranty

If the product is under warranty, please attach a photo of the purchase invoice

Accessory or service requested

Description*

Image upload (JPG only)

Observations

I accept the treatment conditions of this form