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Maintenance

Mrs./Mr.

Mrs./Mr.Mrs.Mr.

Last Name*

First Name*

Company*

Address

City/Zipcode

Country

Department

Phone*

Fax

E-mail*

Please state briefly your request - we will get in touch with you promptly: Is this an urgent fault or a routine inspection of the centrifuge?

Urgent failure

Please tell us briefly the
type and scope of the fault

Routine inspection:

Routine inspection:Inspection in operating modeInspection in disassembled condition

Desired date:

In order to process your request correctly we need the information below, which you can find on the nameplate on the centrifuge or in the operater's manual:

Manufacturer

Machine type

Machine number

Additional Information: