2 for units in north america and central america – BINDER CB 60 User Manual

Page 142

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CB (E6) 09/2013

Page 142/144

23.2 For units in North America and Central America

Product Return Authorization Request

Please complete this form and the Customer Decontamination Declaration (next 2 pages) and attach the

required pictures.

E-mail to: [email protected]

After we have received and reviewed the complete information we will decide on the issue of a RMA

number. Please be aware that size specifications, voltage specifications as well as performance

specifications are available on the internet at

www.binder-world.us

at any time.

Take notice of shipping laws and regulations.

Please fill:

Reason for return request

Duplicate order

Duplicate shipment

Demo

Page one completed by sales

Power Plug / Voltage

115V / 230 V / 208 V / 240V

Size does not fit space

Transport Damage

Shock watch tripped? (pictures)

Other (specify below)

_____________________

Is there a replacement PO?

Yes  No

If yes -> PO #

If yes -> Date PO placed

Purchase order number

BINDER model number

BINDER serial number

Date unit was received

Was the unit unboxed?

Yes  No

Was the unit plugged in?

Yes  No

Was the unit in operation?

Yes  No

Pictures of unit attached?
Pictures of Packaging

attached?

Yes  No

Yes  No

Pictures have to be attached!


Customer Contact Information

Distributor Contact Information

Name

Company

Address

Phone

E-mail

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