What assistance do you need?*
I would like to make a complaint

Place of purchase of the machine:*
I bought from the Dealer

Full name / company name*

Address *

Location *

Postcode *

VAT identification number

E-mail *

Phone number *

Product group*
Recycling machineryAgricultural machineryMunicipal MachineryCrusherTractorsForklifts

Model *

Serial No. / VIN **

Operating hours (mth) *

Machine location *

Product lifetime *
product not in useup to 2 weeks2 weeks to one monthone month to six monthssix months to one year1 to 2 yearsover 2 years

Manufacturing year*

Purchase date *

Type of tractor/vehicle that the machine is aggregated

Subject*

Description of the fault / comments *

Attach file:

I have read the protection of personal data notice and accepted the privacy policy.*

** vin for wheel machinery