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The mechanical
warranty
for professional
farmers
TARIFFS
2017

Prices valid until 30/12/2017

COMPLETE THE FORM
PRINT AND SEND BACK

AGRICULTURAL

CUSTOMER

Surname

First name

Address

Postcode

DEALER

Town

Tel

Dealer's code

VEHICLE

Dealer's name

Combine Harvester

Silo loader

NEW

USED

Automotive

Make

Model

HP

Date 1° circul.

Nr hours

Series Nr.

OPTIONS

New value

Wear and Travel

THE WARRANTY

ESSENTIAL without maintenance records
HIGNLY RECOMMENDED if more than 2 years or 2000 hours

Date of contract:

Start date of contract:

Duration in hours:

100 hrs

Coverage:

3 points

200 hrs

300 hrs

13+6 points

Maximum per damage

SIGNATURES

base maximum (see tarifs)

base maximum doubled

base maximum tripled

Choice of Maximum
apply coefficient to cotisation (voir tarifs) pour doubler ou tripler le plafond de base.

We have read and understood the terms and conditions and that, in case of default of payment to Eurola, no compensation will be provided.

Company(stamp):

signature of recepient:

PRINT, SIGN, and SEND TO
 by email: contracts@eurola-eu.co.uk
or by post
 EUROLA- Hamilton House, Mabledon Place, Bloomsbury
London WC1H 9BB
Fax: +44 (0) 203 445 0731