Service or exchange request on a product not under guarantee

Company
(if product purchased in a professional context)		  
First name *  
Surname *  
Street number and name *  
Postcode *  
City *  
Country *  
Email address *  
Telephone  
Fax  
Product model *  
Purchase date (DD/MM/YY) *  
Serial number *
(on the grey label at the back of the UPS)		  
Malfunction noticed *  
List of equipment connected
to the UPS at the time of the breakdown *		  
     
 

* Mandatory fields