Machine return form

BAC number or machine serial number*
Name and surname / Full company name*
Contact person authorized to return machines*
NIP*
Contact person's phone number*
E-mail adress*
Return Date*
Date Format: MM slash DD slash YYYY
Place of pickup - facility name and address
Additional information regarding pickup - arrival, pickup from the ramp, pass or whether the machine is damaged
File
Drop files here or

Accepted file types: jpg, gif, png.
Zgoda*
- I agree to use the shared my personal data for the purpose of implementation of the services provided by the BAC Poland in Kostrzyń nad Odrą., street Gorzowska 112, more information can be found on our website Privacy Policy. Remember that you can always withdraw your consent.
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.