Repair request 1 Basic information about the company2 Reported devices3 Confirmation of the application Contact person* Name Surname E-mail Phone Informations about company* Company name Phone E-mail Address data* Street City Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country * Using the application form is tantamount to reading and accepting the privacy policy regulations. Privacy policy List of reported devicesDevice 1* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 2* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 3* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 4* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 5* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 6* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 7* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 8* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 9* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 10* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 11* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 12* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 13* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 14* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 15* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 16* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 17* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 18* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 19* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNoDevice 20* Hardware model Serial number Manufacturer Type of repair*WarrantyComplaintPaid serviceDescription of the fault*Technical problem description: Necessary repairs: Suggested repairs: Notes: Accessories: Battery: Stylus: Cable: Power supply unit: Manufacturer’s security seal: Weilandt Elektronik’s security seal: Other: Fill out the form above with all relevant information about the device being reported.Add another device?*YesNo In the absence of acceptance of costs, feedback and response to requests. After 3 months from sending the offer for repair, we charge a fee for storage and storage according to the rules of the website. Sending equipment for repair is tantamount to reading and accepting the service regulations.* Using the application form is tantamount to reading and accepting the website's terms and conditions. Privacy policyCAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.
