Email-address for all relevant correspondence*:
Name of responsible correspondence partner*:
Telephone No. for direct consultation:
Part description (if part no. is not available)*:
Quantity of parts affected*:
B/N (check lower end of label)*:
Received with/Delivery note/Invoice No.*:
Please enter the 7-digit-number from the header of our invoice or delivery note beginning with 5 or 7.
Kind of Application:
Type of claim:*
Logistical error (e.g. wrong quantity/product/label)
Please describe in brief the problems which have occurred to allow us a general decision on further procedures*:
You can attach up to 3 files (gif, jpg, png, pdf) to your message:
* = Stating the information required in these fields is essential for proper processing of your claim.
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