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Return of systems and accessories

Mandatory field*

Customer information

Delivery address

If the delivery address is the same as the billing address, the following fields do not need to be filled in.

Contact person

Systems and equipment

In order to assign assign your system and equipment correctly, we need detailed information from you. Therefore, we ask you to enter the material and serial number of the respective systems as well as subequipment and accessories. If you want to send more than one subequipment or accessory for a system, please separate the corresponding numbers by a semicolon (;).

System 1

System 2

System 3

If you would like to send in further systems or accessories, please add them under remarks or fill in this form again.

Declaration of consent

that JENOPTIK AG or the Jenoptik Group company responsible for my request may process my e-mail address and my other personal data entered in the contact form in order to contact me by e-mail, telephone or otherwise and send me information on products and services offered by the Jenoptik Group. I am entitled at any time to receive information on the personal data stored about me and I can request the rectification, erasure or blocking of individual personal data. I can withdraw this declaration of consent at any time without giving reasons. Besides, I took notice of the data protection declaration on the contact form.