105
05.2012
Tetra
Subject to technical modifications
20.0 Product delivery / first use declaration
1)
Delivery date: ____ . ____ . _________
2)
Implement designation: ____________________________________________________
Type: ________________________________ Serial no.: ________________________________
Chassis no.: ______________________________
3)
Customer contact details:
Surname: __________________________________ First name: _________________________________________
Street: _____________________________________________
Country: ______________________ Post code: ______________ City:________________________________
District: ______________________________________________ Telephone: ___________________________
Size of farm (ha): __________________
4)
Contact details of the dealer / importer
Company: ____________________________________________________________________________________
Surname: ___________________________________ First name: ________________________________________
Street: _____________________________________________
Country: __________________________ Post code: ______________ City:____________________________
District: ___________________________________________ Telephone: ______________________________
The implement was delivered to the customer in a complete (see delivery note) and fully functional condition.
The customer has received training on the function and operation of the machine.
First use (commissioning) was carried out properly.
_____________________________________ __________
Signature of the customer service specialist
Date
5)
The implement named under 2) and delivered under reservation of title was handed over in factory-new / used condi-
tion, ready for use, and was deployed in full recognition of the supply and warranty provisions*.
With the implement, I received**:
Operating instructions, order no. _______________
Spare parts list
EU Declaration of Conformity
_______________________________________________________
_______________________________
______________
Signature of the customer
Date
We are entitled to process personal data obtained in the context of the business relationship in accordance with the German Federal
Data Protection Act. This form must be filled out and returned within 21 days to Grégoire Besson GmbH.
*Cross out items in the text which do not apply, **tick those which do.
Grégoire Besson GmbH
Am Rabewerk 1
D-49152 Bad Essen
Fax: +049(0) 5472 77 11 00
Product delivery declaration
Summary of Contents for Tetra 3001 L
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