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Customer Support Request

 

Form reserved for customers with a valid rental contract.
 

  Important:
  Please provide the following information, in French or English, clearly:
       
  Instrument problem →  Serial number or contract number + symptom(s)
       
  IT problem →  Serial number or contract number + symptom(s)
       
  Contract extension →  Contract number + desired extension period
       
  Equipment purchase →  Contract number + planned purchase date
       
  Other →  Contract number + request details
       

 
 

  Surname *:  
  First name *:  
  Telephone *:  
  E-mail *:  
  Company *:  
  Country *:  
  Your message *:  
 
  Cryptogramme:
  Veuillez recopier le texte contenu dans l'image: *
 
 
  * Obligatory fields



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