Service Request Form

Please complete the form with all information you can provide. This will accelerate the processing considerably.

The fields indicated with an asterisk are required to complete this transaction; other fields are optional.
About You
Salutation
First Name*
Last Name*
Institute
Street address*
Postal code*
City*
Country*
Phone number*
E-mail address*
About Your Book Scanner
Scanner Type*
Serial Number*
Estimated Operation Time*
Software Version*
 
Failure Description
Error Type*
 Hardware  Software
 PC Problem  unknown
Detailed Failure Description*
(Please note also any unusual behavior)*
Failure Frequency*
 once  sporadically  repeatedly
 
since*
Your task(*)
Please inscribe the result in the input field beneath!
Your result(*)