reparatieformulier - Europa -

Prénom - first name:

Nom - last name:

Téléphone - phone:

E-mail:

Merci d'indiquer l'adresse de retour après la réparation:

write here the address you would like the machine to be return after repair:

Nom du salon - shop name:

Numéro et rue - number and street:

Ville - city:

Département - county:

Code postal - zipcode:

Pays - Country:

num TVA / VAT number:

Valeur assurée demandée pour expédition retour - Requested Insured Value for return shipping:

indiquer la valeur d'assurance souhaité - please indicate the insurance value you would like for your shipping

Modèle de la machine - machine model:

Date indiquée sur la machine - date on the machine:

Type d'aiguilles utilisées - needles type used:

standardscartridges

Taille d'aiguilles utilisées - needles grouping:

Etes vous le premier propriétaire? - are you first owner?

yesno

Voltage d'utilisation - Volts at which you are running machine:

Explication du problème - describe issue(s):

Une fois votre demande validée par Greg, vous devrez envoyer votre machine dans un colis soigneusement emballé et protégé avec la machine, l'email de confirmation imprimé, et le devis reçu signé.

Si le devis et/ou le mail de confirmation sont manquant des frais de recherche de 50€ seront appliqués. Si vous êtes d'accord avec ces termes merci de cocher la case et envoyer votre demande de prise en charge.

________________________________________________________________________________________

Once Greg approves your repair request you will have to send your machine, repair form, and proof of repair payment in a box labeled with your full name, business name and address. If there is no repair form and/or proof of repair payment in the box there will be a 50€ investigation fee charged. If you agree to these terms check this box and submit your form

Une fois votre message envoyé, vous recevrez un email de confirmation sur l'adresse indiquée dans le formulaire. Si vous ne recevez aucun email dans les 5/10 min, vérifiez vos spams et l'adresse email indiqué.

___________________________________________________________________________________________

once this form sent, you will receive a confirmation mail. if you haven't received it within 5/10minutes, check your junkmails and your email address indicated on the form.

Flo contact phone

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          "help": "<div>Une fois votre demande validée par Greg, vous devrez envoyer votre machine dans un colis soigneusement emballé et protégé avec la machine, l'email de confirmation imprimé, et le devis reçu signé.</div> <div>Si le devis et/ou le mail de confirmation sont manquant des frais de recherche de 50€ seront appliqués. Si vous êtes d'accord avec ces termes merci de cocher la case et envoyer votre demande de prise en charge.</div> <div>________________________________________________________________________________________</div> <div>Once Greg approves your repair request you will have to send your machine, repair form, and proof of repair payment in a box labeled with your full name, business name and address. If there is no repair form and/or proof of repair payment in the box there will be a 50€ investigation fee charged. If you agree to these terms check this box and submit your form</div>"
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        },
        {
          "field_id": "flohp",
          "model": "field_flohp",
          "styleClasses": "flohp",
          "placeholder": "",
          "required": false,
          "type": "input",
          "inputType": "text",
          "label": "Flo contact phone",
          "attributes": {
            "input": {
              "class": "form-control",
              "width": "100%",
              "enable_conditional_logic": false,
              "required": false
            }
          },
          "buttons": ""
        }
      ]
    },
    {
      "styleClasses": "form-group-submit",
      "fields": [
        {
          "type": "flocaptcha",
          "label": "",
          "model": "flocaptcha"
        },
        {
          "field_id": 3585930,
          "model": "field_3585930",
          "placeholder": "",
          "styleClasses": "width-100 fid_3585930 submit-btn",
          "required": false,
          "attributes": {
            "input": {
              "class": "form-control",
              "width": "100%",
              "text_color": "#ffffff",
              "text_color_hover": "#ffffff",
              "bg_color": "#000000",
              "bg_color_hover": "#000000",
              "border_color": "#000000",
              "border_color_hover": "#000000",
              "button_position": "center"
            }
          },
          "type": "submit",
          "buttonText": "envoyer - send",
          "validateBeforeSubmit": true
        }
      ]
    }
  ]
}