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Swarovski Optik KGzH Kundendienst & ReparaturenSwarovskistraße 70, A-6067 Absam / Tirol

Tel. +43 5223 511 6204 / 6191 / 6195 / 6388Fax. +43 5223 511 6431E-Mail [email protected]

REPAIR / SERVICE-ORDER

Enduser

Name: __________________________________________________________________________

Street: __________________________________________________________________________

ZIP, City: __________________________________________________________________________

Country: __________________________________________________________________________

Tel.: __________________________________________________________________________

Fax: __________________________________________________________________________

Email: __________________________________________________________________________

Retailer please fill in, if subbmitted by retailer

Company /Name: __________________________________________________________________________

Customer-nr.: __________________________________________________________________________

Street: __________________________________________________________________________

ZIP, City: __________________________________________________________________________

Country: __________________________________________________________________________

Tel.: __________________________________________________________________________

Fax: __________________________________________________________________________

Email: __________________________________________________________________________

Description of problem

Product: Binocular Riflescope Telescope Optronic Instrument Accessory

Product description: __________________________________

Serial Number: __________________________________

Short description of problem

Service Order

If within warranty, this repair/service is made free of charge and the product is returned to you. If not within warranty you will first receive a cost-estimation.

___________________ ________________________________________________Date Signature (of client)