Repair Request Form - Motorola R-20010 Maintenance Manual

MOTOROLA, INC.
COMMUNICATIONS SECTOR
TEST EQUIPMENT REPAIR CENTER
1313 EAST ALGONQUIN ROAD
SCHAUMBURG , ILLINOIS 60196
TEST EQUIPMENT REPAIR REQUEST FORM
This completed form must accompany equipment returned
for repair.
CUSTOMER 'S PURCHASE ORDER NO.
I
DATE
MODEL NUMBER
I
SERIAL NUMBER
DESCRIPTION OF PROBLEM :
I
REQUESTED REPAIRS:
I
SHIP TO ADDRESS :
I
SHIP VIA :
I
Providing the information below will reduce the turnaround time on your Test
Equipment Repair.
I
1
MOTOROLA CUSTOMER NUMBER BILL TAG SHIP TAG
INTE RNAL MOTOROLA A CCOUNT NO.
I
Figure / . Re pair Request Form
SIGNED : - - - -- - - -- - - -
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68P81062 E96- 0