Customer details

Name / Company name: *

Contact person: *

Address:

E-Mail: *

Telephone No: *

Request no. customer:

Article details

Article No.: *

Article Description: *

Hardware number:

Software number:

Delivered on invoice number: *

Invoice date: *

Reason for return (multiple options possible)

Ordered wrong: No Yes

Delivered wrong: No Yes

Delivered too late: No Yes

Cancelled by customer: No Yes

Does not fit: No Yes

DOA (Dead on Arrival): No Yes

Delivered incomplete: No Yes

Broken: No Yes

Software update necessary: No Yes

Other; namely:

Complaint (multiple options possible)

No video: No Yes

No audio:

Controls via OEM buttons does not work: No Yes

Video interference: No Yes

Audio interference: No Yes

Broken cable: No Yes

Interferes: No Yes

Unstable: sometimes it works, sometimes it does not: No Yes

Other, (EXPLAIN):

Description of complaint:

Already tried to solve the complaint:

Discussed with below employee of NavInc for support

Name: *

Date: *

Product installed in

Car Brand:

model:

Year of construction:

Navigation/radio type:

Type number navigation/radio:

Manufacturer navigation/radio:

Software version navigation/radio:

Dutch language navigation available:

Stock options

Changer: No Yes

Rear camera: No Yes

Nightvision: No Yes

TV tuner: No Yes

Topview: No Yes

Navigation: No Yes

Aux-in: No Yes

iPod conn.: No Yes

USB conn.: No Yes

Rear entertainment: No Yes

DVD changer: No Yes

Other; namely: