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Customer's Basic Information
Full Name of Customer :       Telephone :
Telefax : Contact Person :
Email :

Feedback about Using of Products

A. Common Feedback :

B. Feedback about Quaity Problem :


1.Technical Parameters of the Equipment Using the Products :

2.Phenomena of the Quality Problem :

3.The Number of the Product with the Quality Problem :

4.Requests of Customer for Solution of the Problem :


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