UM-PRORUNNER_Mk5-1.2-EN-US 201Appendix19 Appendix19.1 Product registration formFill in this form and send it to support@qimarox.com for correct product registration./i/i* Draw a circle around the choice./iTHIS FORM IS USED TO INFORM THE USER OF QIMAROX PRODUCTS ABOUTMODIFICATIONS ON THE USED EQUIPMENT AND TO IMPROVE OUR SERVICE ONTHE EQUIPMENT. THE CONTACT BETWEEN USER AND QIMAROX WILL BETHROUGH THE SUPPLIER / INTEGRATOR.Machine type * Mk 1 Mk 5 Mk 9Order number QimaroxSerial numberIntegrated byOrder number integratorInstallation dateStart production dateYour reference (line / machine number)Contact details userCompany nameAddressZip codeTown / cityCountryPhone numberFax numbere-mailwebsiteTechnical contact userFirst nameLast nameFunctione-mailPhone numberspare parts ordered * yes nocontact for service contract * yes noREMARKS
