FluidFM probes replacement request form
1. CYTOSUR GE AG, SÄGEREISTRASSE 25, CH - 8152 GLATTBRUGG, SWITZERLAN D PHONE +41 43 544 87 0 0 , FAX +41 43 544 87 0 9 , firstname.lastname@example.org , WWW.CYTOSURGE.COM 1 /2 FluidFM ® PROBES WARRANTY REQUEST FORM We are sorry to hear that you are having problems with our probes. Together with our distributors we are going to do our best to help you as soon as possible. This form is used to initiate the warranty request procedure for probes which do not meet the spe cifications. To process and assess your warranty request quickly, we ask you to send an e- mail with this filled form attached to our specific distributor – or to email@example.com if you are a direct customer of Cytosurge . Please do not send any probes back without explicit request and instructions from us, as this will result in customs and VAT charges. INSTRUCTIONS The table below is for one or more probes of the same type with the same issue. If you want to complete the form for a further probe type / issue, please copy the whole table. 1. Probe/ group of probes a. Choose unmet specifications or issue Serial nu mber(s) (CYSN) : Probe t ype: FluidFM platform: Other: Application in: a) liquid b) air Probe(s) were used for following application: Other:
2. CYTO SURGE AG, SÄGEREISTRASSE 25, CH - 8152 GLATTBRUGG, SWITZERLAN D PHONE +41 43 544 87 0 0 , FAX +41 43 544 87 0 9 , firstname.lastname@example.org , WWW.CYTOSURGE.COM 2 /2 Unmet specification (s) /i ssue(s) : a) the p robe(s) v isibly le ak(s) b) the probe(s) c annot b e filled c) the p robe a dapter(s) d o/does n ot fit tightly o r is/are broken d) no o r bad l aser signal e) oth er , please specify : b. Proof that you will send us a s attac hment Which proof are you sending us for each probe or group of probes? a) video b) im age c) sketch d) other c. Please enter a detailed description of the problem (also tell us your assumption of possible causes) Detailed problem description: Assumption(s) of possible causes: d. Used experimental protocol Did you use a standard protocol from Cytosurge? Yes, p lease specify: No, p lease sp ecify y our ow n p rotocol: T h a nk y ou for t aking t he ti me t o he lp us imp rove ou r pr oducts a nd serv i ces!
- 1559 Total Views
- 1069 Website Views
- 490 Embedded Views
- Social Shares
- 0 Likes
- 0 Dislikes
- 0 Comments
- 0 Facebook
- 0 Twitter
- 0 Google+
- 3 cytosurge.odoo.com
- 3 www.cytosurge.com
FluidFM Probes | Factsheet8285 Views .
FluidFM Technology | Factsheet5339 Views .
Single Cell Injection | Factsheet4162 Views .
Welcome to Cytosurge3984 Views .
Spotting | Factsheet3890 Views .
Single Cell Adhesion | Factsheet3869 Views .
Nanolithography | Factsheet3861 Views .
Direct Metal 3D Printing with Submicron Resolution3849 Views .
Single Bacteria Adhesion | Factsheet3684 Views .
FluidFM Publications | Factsheet3676 Views .
Colloidal Spectroscopy | Factsheet3578 Views .
Pressrelease FluidFM 3D printing english3411 Views .
Medienmitteilung FluidFM 3D printing deutsch3260 Views .
Single Cell Injection | Video3171 Views .
Pressrelease FluidFM ADD-ON english2941 Views .
Medienmitteilung FluidFM ADD-ON deutsch2916 Views .
FluidFM Applications Overview2861 Views .
Single Cell Adhesion | Video2765 Views .
FluidFM BOT - Experimental Procedure2758 Views .