http://www.swarovskioptik.com/upload/media/media/47/repairform_en%5B764%5D

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Swarovski Optik KG zH Kundendienst & Reparaturen SwarovskistraĂ&#x;e 70, A-6067 Absam / Tirol Tel. +43 5223 511 6204 / 6191 / 6195 / 6388 Fax. +43 5223 511 6431 E-Mail service@swarovskioptik.at

REPAIR / SERVICE-ORDER Enduser Name: Street: ZIP, City: Country: Tel.: Fax: Email:

__________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________

Retailer Company / Name: Customer-nr.: Street: ZIP, City: Country: Tel.: Fax: Email:

please fill in, if subbmitted by retailer

__________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________

Description of problem Product:

Binocular

Riflescope

Telescope

Optronic Instrument

Product description:

__________________________________

Serial Number:

__________________________________

Accessory

Short description of problem

Service Order If within warranty, this repair/service is made free of charge and the product is returned to you. If not within warranty you will first receive a cost-estimation.

___________________ Date

________________________________________________ Signature (of client)


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