Service request - RG Media – Micromobility and Electronics Repair Service

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About US
Authorizations
Cooperation
Eco-education
Check repair status
Contact
Service request

Service ticket registration

Device

Manufacturer*

Device type*

Serial number

Product name*

Purchase date (YYYY-MM-DD)

Included accessories

Included accessories - description

Service selection*

Partner service*

Only selected e-scooter brands can be submitted to a partner service. In all other cases only the central service is available.

Customer details

Ticket for*

Ticket type*

Claim

Store RMA number

Company name

VAT ID (NIP)

Contact first name*

Contact last name*

City*

Postal code*

Street*

House no.*

Unit no.

Country*

Landline phone

Mobile phone

Customer e-mail*

Store e-mail

*At least one contact phone number is required.

Different shipping and/or pickup address

Different shipping address after service

City*

Postal code*

Street*

House no.*

Unit no.

Country*

Different pickup address

City*

Postal code*

Street*

House no.*

Unit no.

Country*

Fault description

Fault*

Ticket description

Additional services

Additional services list

Total

Device access code

Security code

Additional information

Składając zgłoszenie akceptuję regulamin serwisu i warunki realizacji zgłoszenia.

Check all required

I share my personal data to carry out the service process*

I consent to removing films/protectors*

I am aware of the risk of data loss*

Akceptuję opłatę manipulacyjną w przypadku nieuzasadnionego zgłoszenia lub rezygnacji po diagnozie.*

I consent to a paid repair up to the amount of

Amount

After saving this ticket, create another one

Attachments

Proof of purchase number

Proof of purchase

File

Description

About US
Authorizations
Cooperation
Eco-education
Check repair status
Contact
Service request