Repair form Sender's data Name * Company E-mail Phone Datos de facturación Company NIF Progres customer number Contact Address Postal code City Region E-mail Phone Datos de envío Use the same as billing information Use different data Shipping data (origin) * Company NIF Progres client number Contact Address Postal code City Region E-mail Phone Material sent Model Serial number Equipment reference Problem Option / extension that you want to add Date MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20232024 Year IMPORTANT Once the form is printed, put it inside the package to speed up the process. Send the material sufficiently protected. Address Sistemes Electrònics Progrés, S.A. Polígon Industrial, C/ de la Coma, 2 25243 El Palau d’Anglesola (Lleida) España We recommend sending by DHL or Seur (Standard service) to due ports. We will charge the ports to the invoice. If you send it with another company you will have to pay the ports. PrintSubmit