Service

Service

Complaint (RMA)

VAT

Company

Address

Contact person

E-mail

Telephone number

Date of event

PBTK deadline

Date of awareness (Distributor)

Description of event/request

Product description

If you are describing multiple products, please separate them with a comma. For example: DEY-XX-XXX006013,XX-XXX000336,...

Product name

UDI/SN/LOT

Manufacturer

Model

Other identification

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