Service Request

Please fill in the form below - only a few informations are needed.

After you have entered your address and some key data of your unit, you are asked to describe your request.
The * tagged input fields are mandatory!
Additionally this form provides the possibility to attach up to three .pdf or .jpg files (e.g. process documentation files or photographs) with a maximum size of 5 MB each. This will help to analyze your problems or identify parts of the unit and so speed up handling.

Type of Request

Service Request

Spare Parts Order

Request for Technical Information

Maintenance contract available

Security area*

Address

Company*

Institute*

Title*

First name*

Last name*

Street/no.*

Zip/City*

Department

Workgroup

Customer no.

Phone*

Fax*

Email*

Country*

Contact Person (optional)

Title

First name

Last name

Building

Telephone

Fax

e-Mail

Floor

Room

Customer Order No. (optional)

Order no.

Date

Unit Data (see name plate)

Type*

IVD*

In Vitro Diagnostics

Serial/ fabrication no.*

Controller

Year of manufacture*

Attachments

Detailled description and additional notes where necessery*

This form provides the possibility to append .pdf or .jpg files (max. 5 MB each, e.g. process documentation files or photographs). This will help to analyze your problems or identify parts of the unit. Please use the buttons below to choose the files.

File Attachments

I read the Privacy Terms and agree.*

The * tagged input fields are mandatory! After pressing »Submit«, maybe an input field is displayed with red background. In this case please check your input and press »Submit« again. A shipping notice will be displayed and a copy og your message will be sent to your email address.

Service Request

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