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Formulaire de dépannage technique
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* Indicates required question
Marque de l'appareil:
*
Your answer
Type / Modèle de l'appareil et numéro de série:
Your answer
Description de la panne / du problème:
*
Your answer
N° de client:
Your answer
Nom de l'établissement:
*
Your answer
Adresse:
*
Your answer
Personne de contact (Prénom, nom, fonction):
*
Your answer
Numéro de téléphone direct:
*
Your answer
E-mail:
*
Your answer
Remarques:
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