Company name
*
Contact
*
Address
*
Postcode
E-mail
*
Phone number
*
-
E.g. 06 or 010
Phone number
Invoice number
*
(GVF22-xxxxx)
Piece(s) ordered
*
Piece(s) return
*
Item number(s) return
*
Separated by a comma
Return reason
*
Selecteer
Ordered in error
Demo items
Wrongly entered
Ordered too much
Delivered too much
Driver defective
Sensor defective
Emergency unit defective
Defective LED plate
Faulty
Comment(s)
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Should be Empty: