Sender : 

Company and name of person to contact : 

 

 

Address (place where the goods have to be sent) : 

 

 

City     

 

Phone :  Fax :   Mobile     

 

E-mail :    

 

Machine details :  

 

Press brake :   Hydraulic shear :   Other :  

 

Model  :   Serial number :  Year :  

 

Spare parts : 

Hydraulic :      Electrical :      Mechanical :     

Description of spare parts (verify the codes on manual instruction ) : 

 

 

I would like to receive offer of spare parts : 

By e-mail   By fax :  

 

 

 

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