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Book Service Appointment

This service applies for the following Consumer Products:
Television, Video Cassette Recorder, Video CD Player and DVD Player only.

  • Salutation*

  • Family Name*

  • First Name*

  • Email*

  • Mobile Phone*

  • Home Phone*

  • Office Phone

  • Address *

  • *

  • *

  • Postal Code*

  • Product Model*

  • Serial No

  • Date of Purchase *

  • Warranty Reference

  • Description of Symptom













  • Remarks

*Mandatory

Note: The following special characters are currently blocked and not accepted on this form : < > ? : ' " ; | / % * &

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