JALTEST DISTRIBUTOR CHANGE REQUEST
TO BE TRANSLATED
REASONS: (Please, state the reasons for requesting the change)
P-SIG-18-14 Rev.4_EN
...................................................., ............/............/ 20..........
This document hereby states that Mr./Mrs./Ms. with Id. Num-
ber , for and on behalf of the company with VAT
Number and having its business place at , hereby
requests that the services of his/her Jaltest Diagnostics tool, currently subscribed to Jaltest Distribu-
tor are henceforth managed by Jaltest Distributor .
Jaltest serial number:
* In case of conflict between both versions, the English version shall prevail.
Signature and stamp: