Ticket RMA

Group 1

Company*

Customer No.*

First Name and Surname*

Email*

Street/No.*

Zip Code / City*

Country*

Group2

Article Number*

Article Description

Serial Number

Delivery note and/or Invoice Number*

Reason for Complaint*

Detailed Failure Description*

Group 4

Afterwards, you will receive an RMA number by email. This number has to be indicated noticeably on the delivery note of your return shipment

Group 3

1. Declaration of consent:
I agree that Hilscher Gesellschaft für Systemautomation mbH may save and use my name, e-mail, telephone number and address for the purpose of processing the complaint (examination, repair or exchange) or contacting me by e-mail, telephone or in written form. I declare this declaration of consent voluntarily and without any pressure. I was informed about it, that the refusal of consent has no disadvantages for me.

2. Right of revocation:
You can amend or revoke this declaration of consent at any time and without giving reasons to Hilscher Gesellschaft für Systemautomation mbH, Rheinstraße 15 65795 Hattersheim or by e-mail to privacy@hilscher.com or by fax: +49 (0) 6190 9907-50. There are no other costs than the transmission costs according to the basic tariffs. In accordance with Article 15 of the DSGVO, you are entitled at any time to request Hilscher to provide you with comprehensive information on the personal data stored about you. In accordance with Article 17 DSGVO, you may at any time request Hilscher to correct, delete or block individual personal data.

In all other respects you consider in our Privacy Policy.

I accept the declaration of consent and the right of revocation*

Yes

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