After Sales Service - Prilogy Systems

ZIP Code(*)

City / Town (*)

CONTACT PERSON

Intl. (*)

Phone (*)

APPLICATION

Incorrect item received / Wrong deliveryIncorrect item ordered / Wrong orderOther

Other Reasons (*)

Invoice Number for Credit Note

Warranty replacement / RepairImmediate repairRequest cost estimate

Invoice Number (*)

Up to € 300,- maximumUp to € 500,- maximumIndividual maximum amount

Amount in € (*)

Software Update

YesNo

Loan Unit

YesNo

Propose deployment date (*)

Serial Number

Quantity

LOCATION OF DEVICE OR SYSTEM

Location Name

Street

ZIP Code

Town / City

CONTACT DETAILS