| Please fill in the following table, we will form the basis of this information to your failure to answer |
| User Name |
User Name is required.。 |
Address: |
Address is required.。 |
| Your Name: |
Your name is required。 |
Tel: |
Tel is required。Format Such As:0631-5364520 |
| Fault Model: |
Fault Model is required。 |
Production date: |
Production date is required。Format error。Format :MM/DD/Yy 。 |
| Purchase Date: |
Purchase Date is required。Format error。
Format :MM/DD/Yy。 |
The purchase of Address: |
The purchase of Address is required。 |
| Failure to describe the phenomenon |
Failure to describe the phenomenon is required。Words can not be less than 10 words。 |
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