Service request

Claim form

To submit a complaint regarding a purchased product, please fill in the form below. Before submitting, make sure you have correctly completed all the fields in the form.

Personal data *

Provide contact person details

E-mail address *

Provide a valid e-mail address

Phone *

Please enter the number in the format +48XXXXXXXXX

Provide a valid phone number

Company name *

Provide the company name

Company TIN *

Please enter the company TIN in the format XXX-XXX-XX-XX

Provide the company TIN

VAT invoice address *

Provide VAT invoice address

Address for returning the equipment *

Provide address for returning the equipment

Fault description *

Provide description of the problem

Manufacturer *

Field Manufacturer is required

Model *

Field Model is required

Serial number *

Field Serial number is required

Submission type *

Warranty

Post-warranty

Choose submission type

I agree to the processing of my personal data by Technika Chłodzenia Sp. z o.o. in order to answer the inquiry via email and / or telephone. More information on the processing of personal data can be found on the privacy policy page. *

You must consent to submit the form

I agree to the Terms of Service. *

You must consent to submit the form

* field required to submit the form