REGISTRATION FORM
STANDARD SUPPORT PROGRAMM - MACHINE BREAKDOWN

PLEASE COMPLETE THE FORM BELOW:

CUSTOMER DATA:

OEM name:

Company address:
Person in charge:
Department:
Position:
Telephone:
Fax:
E-mail:
VAT No:

Intra-Community-supply of goods accordant to § 6a UstG will be carried out only in compliance with the official requirements
Type of business
END USER DATA:

Country:
Company name:
Address:
Person in charge:
Department:
Position:
Telephone:
Fax:
Email:
Mobile:
VAT No:

Intra-Community-supply of goods accordant to § 6a UstG will be carried out only in compliance with the official requirements
PRODUCT/MACHINE DATA AND BREAKDOWN INFORMATION:

Machine Type:
Serial number:
Installation date:
Yaskawa product type:
Serial number:
Installation data:

Supplied /
bought from:

Alarm code :
Special notes / Alarm information: