Service request

Telephone Number

E-mail *

Full name*

Street*

House/flat number*

Post code*

City*

Data of the damaged machine and description of the fault

Machine name and symbol*

Machine serial number*

Product group / Type of complaint *

Year of production*

Machine purchase date*

Place of purchase (name of dealership and city)*

Topic

When and under what circumstances the failure/damage was found*

Description of the fault*

Attachment (max. 20MB)

The administrator of your Personal Data is Talex Spółka z ograniczoną odpowiedzialnością ul. Dworcowa 9C, 77-141 Borzytuchom, VAT PL8420003742

*I declare that I consent to the processing of my personal data by the above-mentioned entities as part of the service contract.

I declare that I consent to the processing of my personal data made available to Talex Spółka z ograniczoną odpowiedzialnością. In this form, in order to receive marketing / commercial materials of Talex Spółka z ograniczoną odpowiedzialnością and to receive from Talex Spółka z ograniczoną odpowiedzialnością by electronic means to the e-mail address provided in the form, commercial / marketing information regarding the activities of this entity.

* - Required fields