Application form

The form below is for submitting equipment for repair to the automation service. Before using it, please read the Regulations. To submit the form, it is necessary to fill in all fields. Correct submission of the form will be confirmed by a message sent to the email address provided in the form. Confirmation message is automatically generated and you should not reply to it. After sending the form, please wait for contact from the service.

"*" indicates required fields

DEVICE DESCRIPTION

DEFECT DESCRIPTION

CONTACT PERSON

COMPANY'S DATA

Company address*
This field is for validation purposes and should be left unchanged.