Kodak DCS 465 user manual Customer Return Address, Equipment Description, Problem Description

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Appendix C — KODAK Professional

DCS 465 Digital Camera Back

Problem Report Form

Customer Return Address

Name _______________________________________________________________

Company ____________________________________________________________

Address _____________________________________________________________

____________________________________________________________________

____________________________________________________________________

City________________________________ State ____ Zip _________ — ______

Phone ( ) ______________________________________________________

Equipment Description

DCS 465 Camera Serial Number — ______________________

(See the data label on the top of the DCS 465 Camera Back.)

Problem Description

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

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 Problem Report Form G C-1