Repair order form Sweden

Invoice Address
Company Name*
Org. no (VAT)*
Department
Customer no.
P.O Box/Street*
Postal Code*
City*
Country*

Shipping Address
Company Name*
Org. nr (VAT)*
Department
Customer no.
P.O Box/Street*
Postal Code*
City*
Country*

- Use Invoice address as Shipping address

Order Reference*

Contact person*
Email*

Telephone*
Fax

Items for repair
List
Qty Part number + serial number Fault description
Notes (free text to add)...
Copy of order is automatically generated to the e-mail address above

Please include this completed form and ship repairs to:

Eltex of Sweden AB
Södra Portgatan 19
SE-283 50 Osby, SWEDEN
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Comments
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