PowerBox-Systems GmbH - Ludwig-Auer-Strasse 5 - 86609 Donauwörth
certified according to DIN ISO 9001:2000
Repair Equipment Form
Dear customer,
Please fill out for each device below gray boxes to shorten the repair time. Do not forget to mention all articles under equipment items that you will include. That means e.g. Switches, Adjuster boards, wires, etc.

Name, first name
Street, no.
Post zip code, town
Country
Telephone
E-mail
Date of shipment
Product
Equipment incl.
Date of purchase
Error description


PowerBox-Systems GmbH
Emmerich Deutsch
Ludwig-Auer-Strasse 5
86609 Donauwörth
VAT-Id No. : DE252149363
Handelsregister Augsburg HRB 22348
Tel.: +49(906)22559
Fax: +49(906)22459
URL: www.powerbox-systems.com
E-mail: info@powerbox-systems.de
WEEE DE 639 766 11
certified to DIN EN ISO 9001 :2000 		Bank Account: RVB Donauwörth
German sort code:
722 901 00
Acc.-No.: 30 888 98
BIC: GENODEF1DON
IBAN: DE70 7229 0100 0003 0888 98
Hint:

Dear Customer,

for the printing of the repair form, please click on the Print button on the right below.
Thank you very much!