Please fill in the fields below or return the signed PDF form by mail or fax.
For a fast processing we ask you to give all data as exactly as possible.
In order to be able to process your repair as quickly as possible, we ask you to describe the fault as precisely as possible!
* In the case of these errors, please make sure that you deliver the complete device including the case!
Alternatively you can download and fill out the PDF version of the form.
Stettiner Str. 5
26524 Hage, Germany
+49 4931 / 918 74 - 0