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ORDER FORM FOR SPARE PARTS

17	 Order form for spare parts

                                                                                              Klindex s.r.l.
                                                                  SS 5 Tiburtina Valeria km209+200

                                                                                   Manoppello (PE) Italy
                                                                                   Tel (+39) 085 859 546
                                                                                 Fax (+39) 085 8599 224
                                                                 www.klindex.com - info@klindex.it

                Order form for spare parts

Date:           Appliance model:                                 Appliance serial no.:

Customer:

Address:

City:                                               County:      Postcode:
                                                                 E-mail:
Tax ID no.:                                         VAT no.:

Telephone no.:                                      Mobile no.:

Please place an order for the following materials:

Code            Quantity Description

NOTE
Given that the codes for component parts may vary, please attach a copy of the exploded-view diagram to the
order form, indicating the component part to be ordered. As an additional support, you may also provide a pho-
tograph of the material.
Please send by e-mail to info@klindex.it or fax (+39) 085 8599224

72 www.klindex.com - Made in Italy
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