Technical Service

Applicant (Elcom Trade client company)

Tax ID / Registration Number

Address

City

Phone

E-mail

User Information

User Address

User City

User Phone

User E-mail

Installer Information (if a different company)

Installer Address

Installer City

Installer Phone

Installer E-mail

Device Information – Model

Serial Number

Device Capacity / Power

Installation Date

Fault Description

Has the device operated before?
YesNo

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