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ASTRIUM
// Customer Support (TAC) request form //

Enter the product or part, describe the problem and put in your personal and company information.
All mandatory fields are marked (*).
Product Information
Number of products:  products/parts   
1
* Product Name: 
Partnumber: 
* Serialnumber: 
* Warranty Status
Detailed fault description:
Personal and Company Information
* Company name: 
Customer ID: 
* First name: 
* Last name: 
* Phone: 
Fax: 
* E-Mail-Address: 
Shipping address: 
Invoice address: 
* Valid SLA contract
* Terms & conditions: 
Please enter the 5 characters of the image into the left input field.
* Code:  Security code:  You must read and type the 5 chars