Feedback Form
Full Name:
Address:
City
Zip Code
Country
Contact Person's Full Name
Telephone No.
Fax No.
Email address
Deffective Equipment
Model No.
Serial No.
Date of Purchase
Breif discription of the defect
Error/fault/service no. desplayed on screen (in case of franking machine)
Display on screen when franking machine is "ON"
Yes
No
AMC number (if under)
AMC validity period
to
(dd/mm/yyyy)
Details of the branch/dealer who took AMC
