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Form 1
Title group 1
Can’t find an answer to your question?
Please contact us !
Serial number
*
Image
Printer model
*
– Select –
BROTHER
CANON
DELL
EPSON
FUJITSU
HP
IBM
KONICA MINOLTA
KYOCERA
LEXMARK
MIMAKI
OCE
OKI
OLIVETTI
OLYMPIA
PANASONIC
PHILIPS
PITNEY BOWES
QUADIENT
RICOH
ROLAND
SAGEM
SAMSUNG
SHARP
STAR MICRONICS
TOSHIBA
UTAX
XEROX
Type of problem encountered
*
– Select –
Autonomy
Detection during installation
Detection in use
Leak in the printer
Quality during install
Quality in use
Packaging
Description of the problem
*
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( limited to 8mo, .png, ,jpeg, .pdf )
File name:
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Form 2
Title group 2
For a proper answer to your question,
please specify :
Name of your dealer
*
Postal code of the place of purchase
Form 3
Title group 3
Supplier contact details:
Account Number
Civility
*
– Select –
Mister
Madam
After-sales service file number
?
Last name
*
First name
Email
*
Phone number
*
Country
– Select –
Belgium
Switzerland
Czech Republic
Germany
Denmark
Spain
Finland
France
Ireland
Italy
Luxembourg
Netherlands
Norway
Sweden
Slovakia
United Kingdom
Form 4
Title group 4
To be contacted, please provide us with
end user contact details
Company Name
*
Civility
*
– Select –
Mister
Madam
Last name
*
First name
Email
*
Phone number
Address
*
Complementary address
City
*
Post code
*
Country
– Select –
Belgium
Switzerland
Czech Republic
Germany
Denmark
Spain
Finland
France
Ireland
Italy
Luxembourg
Netherlands
Norway
Sweden
Slovakia
United Kingdom
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