PC/Tablet/Telefoon Reparatie aanvraag. COMPARTS.BE Liefkensstraat 6 9032 Wondelgem [email protected] BTWBE 0823.614.330 Datum: ____/____/_____ Vragende Party:__________________________________ Algemene beschrijving van het probleem: ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________ Is het toestel nog in werkende staat: [__] Ja [__] Nee Toestel Info: Merk: ______________________ Model: ___________________ S/N: __________________________________________________ Operating System: ________________________ Wachtwoord/Code: __________________________ Accu: [__] Ja [__] Nee Adapter: [__] Ja [__] Nee Tas/koffer: [__] Ja [__] Nee Is het toestel onder garantie: [__] Ja [__] Nee Contact Info: Naam: _______________________________________________________________________ Adres: _______________________________________________________________________ Tel: _________________________________________________________________________ Email: _______________________________________________________________________ Betalingsmethode Methode: [__] Cash [__] Overscrijving [__] Credit Card Bedrag: €__________________ 25€ extra onderzoekskosten voor tablet/smartphone indien geen reparatie. Herstellingen minder dan 150€ worden automatisch uitgevoerd. [__] Kruis aan ___________________________________________________________ Klant handtekening Datum