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ORDER / QUOTE SPARE PARTS
Submitted by
maetvaadmin
on Fri, 22/07/2016 - 15:14
INFORMATION
Date
Your order Nr.
Type of inquiry
Diagnostic inquiry
Warranty inquiry
Order for spare parts
Quotation inquiry
Maintenance contract
Date of repair order
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
2022
2023
2024
2025
2026
CAR DEALER / WORKSHOPS
Email
*
"compulsory mention" to get answers and follow up the consignments
Are you a Dangel customer ?
Yes
No
Customer code
*
You can find this code on invoices/delivery bills and order confirmation.
If you are not a Dangel customer yet
Person to be contacted
*
Dealer
*
Address
Telephone
*
Fax
VEHICLE IDENTIFICATION
Model
VIS/VIN Number
*
Transformation number
Mileage
*
First registration
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
User type
Fleet
Individual
Name
Name
DESCRIPTION/SYMPTOMS
Description/symptoms
*
Pictures/documentary proof
For any warranty or diagnosis request, please check the
documents to be necessarily sent.
PARTS REQUESTED
Ref.
And/or designation
Qty
Ref.
And/or designation
Qty
Ref.
And/or designation
Qty
Ref.
And/or designation
Qty
Ref.
And/or designation
Qty
Ref.
And/or designation
Qty
Ref.
And/or designation
Qty
Ref.
And/or designation
Qty
Ref.
And/or designation
Qty
Ref.
And/or designation
Qty
