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Don't press ENTER key while you fill the 5 years extended warranty form
* Company
Address

Street:

City: ZIP CODE

Country
Person in charge
Phone
Fax
*E-mail
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*Model

* Serie N
* Commissioning date
(Format DD-MM-AAAA)
* Type of Industry where the product has been installed

( ex. Cement Factory, Water Purification Factory, etc)
*Type of installation where it is used

( ex. Furnace, Tank, Balance etc.. )
Instrument Function

( ex. Temperature Control, Level Control, Weighing, etc.. )
Input

( ex. Thermocouple, Pressure Transducer, Load Cell, Shunt, 1-5V Signal etc )
Output

( ex. 2 relays, RS485, etc )
Functioning or Programming details

* Privacy

 

The data of this installation will form part of a database "DITEL Applications Library" and can be difunded (in a totally anonymous way if you wish so) to inform about how our products are being used.Do you give us your express permission to be related as user to your Application?


If you wish, you can send us a scheme of your installation via FAX or via e-mail as atached document using the reference the model and its serial number

* Indispensable fields for being considered this extension of warranty .

Press only once the send button