R E T U R N S F O R M

Please fill in this form and send it to the following

EVG - Entwicklungs- u. number by fax:

Verwertungs-Gesellschaft mbH (++43/316) 4005-500

Att.: Goods Receiving Dept. Spare Parts Division
Gustinus-Ambrosi-Strasse 1-3
A 8074 Raaba
AUSTRIA

Sender/Customer’s address:
Name and address: Phone:

Fax:

E-mail:

Person in charge:

The parts to be returned belong to:

Type of equipment Type of machine Reference # Spare parts consignment
# (T.....)

Type of parts:
Qty. Denomination/type Description of the fault Return Com- Repair
plaint

Miscellaneous remarks:

Place: Date: Signature/company stamp

Dear customer,
In order to enable us to give your return shipment our immediate
attention, please note the following:

1. Please fill in this form in advance and send it to the following number by
fax: (++43/316) 4005-500.

2. Please enclose this returns form with the goods returned (including a
description of the fault).

Should you have any questions, please call our spare parts division.
 (++43/316) 4005, extensions 692 - 699.

Should you have any technical problems, our Hotline

will be available to you every day between 8 a.m. and 5 p.m.
 (++43/316) 4005-777.