Atlantis Land AO2-F8P Skrócona instrukcja obsługi - Strona 8

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Demand of assistance Form

Fill all the blanks, attach always a copy of the proof of

purchase (Sale Receipt or Invoice), and add it all to the

product for which you are asking for assistance.

Defect:________________________________________

______________________________________________

Type:_____________ Serial Number _______________

For more information call:________________________

Phone.:_________Fax:__________E-mail:___________

Address for sending and retiring of the defective product:

Surname:______________________________________

Name_________________________________________

Corporate name (obligatory for the societies)__________

ZipCode

 City__________________Contry

Street___________________________________n°.:____

Tax Code or VAT Number (you must always write it):

I agree with this with all the clauses of Guarantee, paying

particular attention to the restrictive ones, shown by

ATLANTIS LAND® for this product.

Date________________Signature___________________

RMA (given by ATLANTIS LAND®):_______________

Consent for the treatment of personal informations.

I authorize ATLANTIS LAND

to insert my personal

information into its data bank, with the only aim to apply

the Guarantee to the product over mentioned and for the

future

administrative,

commercial

and

statistic

management.At any time I will be allowed to ask ,

according to law 196/03 art.7, to change or to cancell

them or to oppose their use informing of that ATLANTIS

LAND

, via De Gasperi, 122 – 20017 – Mazzo di Rho

(MI).

Data________________Signature__________________