Repair Information Form

Please take a moment to note the following infor- mation. Include this form in the unlikely event that you need to return the product for warranty service. Refer to Section Eight for complete Warranty information and procedures on returning your

product.

Product: _________________________

Serial Number: ____________________

Purchase Date: ____________________

Purchased From: __________________

Your Name: ______________________

Address: _________________________

City, State, Zip: ___________________

Day-time Phone #: _________________

Company Name: ___________________

Complete the following information ONLY after you have been assisted by a Technical Support Representative:

RMA Number: ____________________

Problem Description: _______________

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