Supplier name:
Contact:
Supplier Part no:
Brink Part no:
Part name:
Drawing Number:
Special characteristics affected YesNo
Use as it is Yes Explain why Repair/rework?Yes I hereby declare that the above information is true and correct I hereby declare that i am a legal representative of the company named above E-mail adres* Comments *
Yes Explain why Repair/rework?Yes I hereby declare that the above information is true and correct I hereby declare that i am a legal representative of the company named above
Repair/rework?Yes
I hereby declare that the above information is true and correct
E-mail adres*
Comments *
