Return of Schmalz products

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Company Data

Company

Department

Street

Postal code

City

Country

State/Province

Customer number

Contact person

Salutation

Ms.

Mr.

First name

Last name

Telephone

E-Mail

Contact for questions (if different from sender)

Salutation

Ms.

Mr.

First name

Last name

Telephone

E-Mail

Pick-up address of the return shipment, if different from company data

Company

Street

Postal code

City

Country

State/Province

Reason for return delivery

Complaint

Sample delivery

Restocking

Repair

Return product 1

Please fill out the appropriate information for the product you wish to return to us. You can use this form to return up to three different products to us. If you wish to return more than three products, please fill out another return form.

Part name

Quantity

Part number

Serial number (if not available, please enter 0)

Order number

Printed order confirmation or delivery note number

Error description/reason for return

Return product 2

Part name

Quantity

Part number

Serial number (if not available, please enter 0)

Order number

Printed order confirmation or delivery note number

Error description/reason for return

Return product 3

Part name

Quantity

Part number

Serial number (if not available, please enter 0)

Order number

Printed order confirmation or delivery note number

Error description/reason for return

Shipping data

Dimension package (LxWxH) in cm

Weight in kg

Declaration of harmlessness

If the goods have come into contact with dangerous substances that are hazardous to health, they must not be returned to us. Please confirm that the products have not been contaminated.

Declaration

We confirm that the following devices have pumped exclusively physiologically unobjectionable media and that they are free of hazardous materials and any materials that are harmful to health.*

Consent to Processing of Data

Consent

I have read the privacy terms and accept the provisions therein. I agree to the saving and use of my personal data by Schmalz for the purpose of processing my inquiry.*

Furthermore, I wish to receive up-to-date information and offers from Schmalz relating to automation and handling technology:

Contact

By e-mail

By telephone

I understand that I can retract my declaration of consent at any time: Withdraw consent.