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Submit your machine!
Serial number:
*
Date of purchase:
Last name:
*
First name:
*
E-Mail:
*
(For administration purpose only.
Your E-mail address will not be given to anyone!)
Country:
*
Condition:
Backglass
1
2
3
4
5
6
7
8
9
10
*
Playfield
1
2
3
4
5
6
7
8
9
10
*
Cabinet
1
2
3
4
5
6
7
8
9
10
*
[10 = superb – 1 = poor]
The fields marked with an [*] are mandatory!
