name *

contact person *

street / number *

Postcode / City *

fon

VAT

Only with your VAT number we can issue an invoice without VAT.

Ihre E-Mail-Adresse *

I hereby confirm the following repairs:

cost estimate no. AN- *

(You will find the AN number on your quotation)

confirmation *

(bitte auswählen) YES, carry out repair new device free scrapping no, device unrepaired back

Shipping method *

(bitte auswählen) 14,90 Euro shipping costs / insured up to 750,00 Euro 28,30 Euro shipping costs / insured up to 1000,00 Euro 38,30 Euro shipping costs / insured up to 2000,00 Euro 48,30 Euro shipping costs / insured up to 3000,00 Euro

Payment option

(bitte auswählen) Advance payment (abzgl. 1%) on account (without discount)

Save money with our advanced payment options (Payment on account only valid for Benelux).

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