ELT – Device Submission

1
Basic Data
2
Dane ELT
3
AC Details
4
AC Owner Details
5
Delivery
The submitter is: *
Name: *
Surname: *
Email: *
Phone: *
AC Signs: *
Fill the required fields
Device producer: *
Battery change date (optional)
Is there a programming plug?: *
What to do: *
Prosze wypełnić to pole.
Wypełnij wymagane pola

AC Signs:  
Producer/Make: *
AC Type/Model: *
Series No: *
Should we send the information to CAMO?
AC Owner - Name: *
AC Owner - Address - Street: *
AC Owner - Address - Postcode: *
AC Owner - Address - City: *
AC Owner - Address - Country: *
Invoice: *
Delivery method: *
Required document after repair/replacement: *
Prosze wypełnić to pole.
Method of collection: *