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Report failure

Please fill in the form below and click on submit.
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Company name: *
Address:
Zipcode:
City: *
It involves door: *
 
Is the door opening / closing?:
Is the door opened / closed now?:
Does the door still function?:
Should the door be open / closed?:
Urgency:
 
Contact person reporter
Name: *
Phonenumber: *