TCS form

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* Required

Requester Company name *

Address *

City *

Province *

Country *

Requester Full name *

Phone *

Mobile phone

Email *

Product to be maintained (Type) *

Product code (P/N) *

Serial number (S/N) *

EBARA Invoice n°

Defect description *

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Receiver Company name *

Address *

City *

Province *

Country *

Receiver Full name *

Phone *

Mobile phone *

Email *

Notice about processing of personal data

By signing this letter, we declare to accept the fixed flat rate net rate of € 80.00 to partially cover travel expenses, kilometer reimbursement, right to call and manage the intervention and to accept what is stated in the “General Conditions of Sale“ inserted in the current EBARA price list. If the intervention is NOT in the Technical Warranty, the C.A. the person in charge will bill the end user for the intervention. In the event of a possible dispute over the payment, EBARA reserves the right to make a claim against the Customer, requesting the intervention. (Failure to stamp and sign will not result in maintenance work). *

Requesting the service, I confirm that I have read and understood the Privacy Policy of the Website *

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