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Complaint Form

Your company name *

Name *

Address

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Your Internal Reference Number *

Machine/Spare part/Consumables

Type of equipment *

Offset or iCtP equipment

Flexographic equipment

Sales Order no. * SO-

Alternatively, if the request for support is about a spare part, please type the part's Glunz & Jensen Sales Order (our reference no.). The number must include all digits.

Serial no. *

If the request for support is about a machine, please type the complete serial number. The number must include all digits.

Name of machine, spare part or consumables *

Please enter the part no/name of the problematic machine or spare part number.

Installation date *

Month

Day

Year

Failed during installation *

Yes

Symptom (choose one or more) *

Application issue

Incorrect assembling/process

Incorrect delivery of parts

Component failing

Failed during installation

Damaged upon arrival

Component missing

External information incorrect

New functionality

Unacceptable delivery time

Toning/scumming

Loosing image

Background stain

Image quality

Poor run length

RST Regularty Deviation

Other

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Here you can upload a photo or file to support your submission. Files may be GIF, JPEG, PNG, DOC, DOCX, PDF, MOV, MP3 or ZIP and have a maximum file size of 2 MB.

Description of problem *

Frequency of problem *

Single case

Repeated case

Parts failed under guarantee

Please enter part no., description and quantity.