User's Manual

Instruction Manual Little & Double Badger, rev. October 2014 Pag. 18
Request form
REPAIR UNDER GUARANTEE
Please write in the above box
the Repair Authorization Number
1. Customer data:
• Name: ______________________________________
• Address : ____________________________________
• Town : ______________________________________
• ZIP Code : ___________________________________
• Phone : _______________Available from ____ to ____
• Fax : _____________________
• Email address: ________________________________
2. Product information:
• Model : ___________________________________
• Serial number : _____________________________
3. Gun Shop - dealer:
• Purchase date : ______________________________
• Dealer name : ______________________________
• Dealer address: ______________________________
4. Description of defect:
Documents to attach: Proof of purchase with date
NdR NDR : _____________________