User's Manual

Instruction Manual, LA322 Lever Action, FEB2016 Pag. 18
Request form
REPAIR UNDER GUARANTEE
Please write in the above box the
RETURN MARCHANDISE NUMBER
1. Customer data:
 Name: ______________________________________
 Address : ____________________________________
 Town : ______________________________________
 ZIP Code : ___________________________________
 Phone : _______________Available from ____ to ____
 Fax : _____________________
 Email address: ________________________________
2. Product information:
 Model : ___________________________________
 Serial number : _____________________________
3. Gun Shop - dealer:
 Purchase date : ______________________________
 Dealer name : ______________________________
 Dealer address: ______________________________
4. Description of defect:
Documents to attach: Proof of purchase with date
RMA Number ____________________