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 AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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.
