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The mechanical
warranty
for professional
farmers
TARIFFS
2015

Prices valid until 30/12/2014 -

COMPLETE THE FORM
PRINT AND SEND BACK

AGRICULTURAL

CLIENT

Surname

Name

Address

Post code

DEALER

city

Tel

Dealer's code

VEHICULE

Dealer's name

Combine-Harvesters

NEW

Silo Loader

Automotive

Make

Model

HP

Date 1° circul.

Nr hours

Series N.

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:

years of warranty:

2nd

3rd

4th

5th

Coverage:

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