Service Form - Montiss DELUXE Mode D'emploi

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SERVICE FORM

Unfortunately we CANNOT handle any service forms that have been completed unclearly or partly.

Therefore please always fill in the service form as clearly and completely as possible!

THE PRODUCT

Article number: WBE6245M

Article description: Montiss Electric Polar Fleece Blanket Deluxe

Shop of purchase:..................................................................................................................................

Date of purchase:.......................................................................................................................................

YOUR DATA

Name:....................................................................................................................................................

Address:.................................................................................................................................................

Postal code:...........................................................................................................................................

City:.......................................................................................................................................................

Telephone:.............................................................................................................................................

Fax:........................................................................................................................................................

E‐mail:...................................................................................................................................................

DESCRIPTION OF THE PROBLEM

...............................................................................................................................................................

You can send this form, together with the proof of purchase, to:

Postal address: Van den Berg Products BV, IJzerwerf 10‐12, 6641 TK Beuningen, The Netherlands

Fax: (+31) 24 345 44 29

E‐mail: service@vdbergproducts.com

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Wbe6245m