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Help Topic:	*
Contact Information
Account Number:	*
Company Name:	*
Email Address:	*
Machine Details
Date of Claim:	*
Contact Name :	*
Phone Number:	*
Name of Engineer doing this repair:
Model:	*
Serial Number:	*
Date purchased from Kranzle:	*
Date sold to customer:	*
Date last serviced if applicable:
Date of reported fault by customer:	*
Type of Customer:	*
Name of Customer:
Fault and supporting documents: Drop files here or choose them *
Has the repair been done?:	* If YES Please give Date
Date of Repair:	Qty Part number Description
If repaired please List the items used:
Date replaced items will be / were sent to Kranzle UK Ltd for inspection:
How will / were they sent?: