Contact person: (*)
Mandatory item, name can contain only letters a-z, A-Z
Company: (*)
Company name is a mandatory item
The company address is a mandatory item
Identification No.: (*)
The Company Identification No. is a mandatory item
E-mail address: (*)
Mandatory item, please fill in a valid e-mail address
Telephone or mobile number is a mandatory item!

Identification of machine and the defect

Type of machine: (*)
Mandatory Item, please fill in the model of your machine that has the defect
Model number: (*)
Mandatory Item, please fill in the model number of your machine
Year of manufacture: (*)
Mandatory Item, please fill in the model name and year of manufacture
Defect description: (*)
Defect description is a mandatory item
Photograph of the defect

Type of service call

Service agreement: (*)
Povinná položka, vyberte variantu
Speed of service call (*)
Mandatory Item, please select an option
Security code: Security code:
Wrong code

Company centres

sidla formica cestlice s

thumb sidla-democentrum-nymburk

thumb sidla-export-mlada-boleslav

sklad formica hostivice s