To
Insta GmbH
Service Center
RMA-No.
← ← ←
Hohe Steinert 10
58509 Lüdenscheid
The RMA-No. is
assigned automatically.
Building project / Place
Insta delivery note / invoice No.
Your Insta customer No.
Your ref.
*Name / Company
*Contact person
*Street
*Postal code , Town
*Telephone / Fax
E-Mail
* mandatory
*Insta Art.-No.
*Item description
*Quantity
*Reason
Miscelleaneous / Notes
1 - Defect goods
2 - Transport damage
3 - Wrong delivery
4 - Wrong goods ordered
5 - Goods to be repaired
6 - Return of samples
*Detailed description of faults (add additional sheet if necessary):
Important:
In order to be able to assert your warranty claims, please enclose a copy of the invoice or the delivery note with the goods!
PDF document of the filled out Service / RMA waybill