Subject *

Type *

Type *A-Unit down B-still working / Error MessageC-MaintenanceD-Spare PartsE-CFKI-InstallationO-OthersQ-ReklamationQ-Report 8-DQ-Report QABT-Damage in transitU-Documentation requestV-Workshop RepairW-Warranty Activation ReportX-InvoicingY-DOA (Defective On Arrival)Z-Technical Request

Form of address *

Form of address *-Mrs.Ms.Mr.

Title

Title-Dr.Prof.Prof. Dr.

Name *

First name *

Company *

Department

Street *

Postal code *

City *

Country *

Phone

E-mail *

Product type

Serial number *

Error description *

Error description *bacterial contaminationdescription failuredead on arrivaldisplay failinginsufficient info - spare part requesterror message on displayhydraulic  leakingrefrigerant leakingnot enough or no pump powernot enough or no heating powernot enough or no cooling powercompletely out of ordercorrodedconspicuous running noise or smellproblems with deliverymechanical damage (fracture, scratches)defective measurement deviceproblems measuringautosampler problemsproblems with the automatic rinsing systeminterface problemscontrol problems/deviationsoftware failureproblems with the  measuring standproblems with the heat transfer fluidtransport damagesoiled / dirty

Error code (if available in the display)

I have read the Data Protection Declaration. *