Request for system commissioning

Attention: all fields required.

Customer:

Name and surname

Town

ZIP code

Mobile phone

Street

Country / Province

Phone

Fax number

Plumber:

Name and surname

Town

ZIP code

Mobile phone

Street

Country / Province

Phone

Fax number

Electrician:

Name and Surname

Town

ZIP code

Mobile phone

Street

Country / Province

Phone

Fax number

Designer:

Name and Surname

Town

ZIP code

Mobile phone

Street

Country / Province

Phone

Fax number

General informations:

Testing is requested for the following operation:

Serial no. of thermoregulation unit

Serial no. of ambient T probes

Serial no. of dehum. 1

Serial no. of dehum. 3

Serial no. of dehum. 5

Serial no. of cooling unit

Serial no. of ambient H/T probes

Serial no. of dehum. 2

Serial no. of dehum. 4

Serial no. of dehum. 6

Serial no. of heat recovery unit

Type of mixer valve and servomotor installed:

Trademark of valve

Model of valve

Type of boiler installed:

Trademark of boiler

Model of boiler

Electrical system completed:

yes no

If not completed, state what is missing

Hydraulic system completed:

yes no

If not completed, state what is missing

Hydraulic circuits calibrated:

yes no

If not calibrated, indicate which are missing

Hydraulic system vented:

yes no

Cost of technical intervention:

Contract

Economy

Other

Customer

Plumber

Designer

Electrician

Other

(The cost of the technical intervention, unless otherwise agreed in writing, shall be debited - subsequent to a final accounting - to the company that requested it, at the prices in force on the date such request was made)

Bank:

ABI code

IBAN code

VAT Reg. no.

CAB code

Tax code

Date requested for the technical intervention:

The above date is intended as a mere indication. The effective date of the technical intervention will be notified by us when we receive this form duly completed, according to our availability.

I agree the treatment of personal data (required to send)