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Buy date (dd/mm/yyyy) *

Serial number *

Picture or video showing the failure (optional)

Problem description

Do you have a suitable packaging to return the defective product safely for transport? Yes No
Is the panel mechanically damaged or does it have any scratches? Yes No

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Name or intials *

Last name *

Company name

Pick-up address *

ZIP *

City *

Country (select from drop-down menu or enter yourself) *

Phone *

E-mail *

Comments

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Not on list "Other".

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SECURITY ISSUE

E-mail *

Date of discovery (dd/mm/yyyy)*

Picture or video showing the issue (optional)

Risk Level

Problem description

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