testpage | TT Technologies, Inc.

Please fill in this form completely and be sure to include it in any returned deliveries. This will help us process your claim more quickly. Thank you.

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Address:

TT Technologies, Inc. 2020 E. New York St. Aurora, IL 60502 E-Mail: info@tttechnologies.com

Claim type

Warranty Claim

Good Will Claim

Your Reference:

Products

GRUNDODRILL

GRUNDOMAT

GRUNDOBURST

GRUNDOCRACK

GRUNDWINCH

GRUNDORAM

Claimant/TT partner:

Customer number:

Name

First

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Person:

Phone

Claimant/TT partner Email

Customer:

Customer number:

Name

First

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Person:

Phone

Customer Email

Machine type/item number:(Required)

Serial number:(Required)

Year of construction:

Order or invoice number:

Delivery Date:

Date Of damage:

Operating hours:(Required)

Fault description/reason for return:(Required)

Attachments (e.g., photos for drill rods, questionnaire about pipe claim...)

Service total

Subtotal

VAT

Total Price

If the claim is rejected, would you like the old parts sent back to you at your cost?(Required)

Yes

No

City, Date

Printed Name

Signature of the claimant

Internal processing comments

Goods received on:

TT transaction number:

Claim

Not accepted

Partially accepted

Accepted

Credit Number

The terms and conditions and the warranty terms of TT Technologies, Inc. are valid.

Warranty Claim/Good Will Claim

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Address:

Claimant/TT partner:

Contact Person:

Customer:

Contact Person:

Designation

Working Hours

Travel time

Miles

Other

Total

1

2

3

4

5

6

7

Total

Internal processing comments

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