Service Claim

Machine Model: *

Machine S/N: *

Engine S/N: *

Timing Reading: *

Purchase Time: *

Feedback Time: *

User Company Name: *

Contact: *

Zip Code: *

User Address: *

Tel/Fax: *

Email: *

Distributor Company Name: *

Tel/Fax: *

Distributor Company Address: *

Email: *

Feedback Person: *

Contact Info: *

Warranty Reason

Damage Parts

Service Suggestion & Result