EXMAR

Complaints about technical features or complications in the use of the product

1. Company and contact details

Company

Customer no.

Contact person

Claim no. customer

Phone

Delivery date

E-mail

Order or delivery note no.

2. Details of delivery / product

Pos. no. Mat. no. Designation

Article claimed Pos. no.

Mat. no.

Designation

Quantity delivered

Quantity claimed

3. Application

Application description

Media

max. bar

Pressure surge

Yes

max. bar

max. bar min. bar

Nom. Pressure

max. bar

min. bar

~ Hz

Vibrations

Yes

~ Hz

max. °C min. °C

Temperature

max. °C

min. °C

Aggressive environment

Yes

Problem description

Your claim

Please upload between 1 and 3 photos

Verification code:

7tdep

Please fill in at least the mandatory fields marked with *.

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Technical complaint

Complaints about technical features or complications in the use of the product

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