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Practice
Laboratory
Teeth
Offers
Complaint request
Customer No*
E-mail address*
Contact person*
Postcode*
Delivery number
Batch number*
Article number*
Your review
Upload the "Product Complaint" form here*:
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Upload the "Decontamination Declaration" form here*:
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Preferred pickup date:
dd
/
mm
/
yyyy
Yes
, I have read and accept the
Privacy policy
.*
I will enclose the completed
Decontamination declaration
with the package. The instruments will be packed sterilely.*
Yes
, I confirm that I have acknowledged the costs incurred in the event of a warranty claim rejection.*
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