Appendix; Return Form - Stryker 150 Handbuch

17.2 Return Form

Return form
Please fill out the card below and mail it back with the device
Name of owner:
Sales representative:
Address of return
Street:
ZIP code:
State:
Country:
Type of device:
Important!
Serial number (SN, see identification plate):
Description of defect:
Name of responsible person
City:
Signature

Appendix

US
Date
53