Technical Support Request - Problem Report

Dear customer,

for taking care of your service request, we need some information.

Please fill in all the details.

By clicking the submit button, you will recieve the request in copy.

Your Baumer hhs Service Team

Technical Support Request - Problem Report

Customer:*

Contact:*

Function:*

Street:*

Postal code / Town:*

Country:*

Your customer number:

Alternative location and/or delivery address if different from above:

Telephone for questions:*

E-mail for questions:*

System information:

Machine designation:*

Manufacturer:*

Model:*

Baumer hhs serial number:*

Current Software version:

Application:

Adhesive:

Hot melt

Cold glue

Component assumed to be the cause, including detailed description of the problem*

When did the problem first occur?*

Is the problem reproducible?*

Yes

Upload file

Preferred contact method:*

Telephone

E-mail

Other remarks:

Data privacy*

I consent to my data being collected and processed for the purpose of responding to my inquiry.

Terms and Conditions*

I agree that Baumer hhs can contact me for marketing purposes.

Yes

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