Contact Person* (Name & Surname)
Company Name*
Address*
Email*
Phone Number*
Machine purchased from*
Subject* (assistance, spare sparts, service intervention,..)
Machine model*
Machine Serial Number* Upload Serial Number Picture* (max 3MB, files allowed: gif, png, jpg, jpeg)
Mould Code
Note* (description of the issue)
Upload Image* (max 3MB, files allowed: gif, png, jpg, jpeg)
Upload a video (Optional) (Upload your video to WeTransfer or Google Drive and paste the link below)
I agree to the processing of personal data as indicated in the Privacy Policy.I hereby give my consent for the processing of my personal data in accordance with the Policy for sending commercial, promotional and / or advertising material.
Services provided rates may vary depending on your specific sales conditions and the type of assistance contract signed.
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