Kiosk replacement request Company Kiosk Replacement Request Customer data Customer number * Company * Contact first name * Contact last name * Device data MAC address of broken device * Reason for replacement * Please select Non functional device Display background lighting not working Display not responsive in some areas Display is broken Article number * Please select 21,5" Kiosk = XOMEGAPAD2154V4 32" Kiosk = XOMEGAPAD3204V4 Delivery address for replacement device Salutation * Company Mr Ms Name * Street * Number * ZIP * City *