65
7. Ap pen dix
TO: NEC or NEC's Authorized Ser vice Station:
FM:
(Company & Name with signature)
Dear Sir (s),
I would like to apply your TravelCare Service Program base d on attached registration an d quali cation sheet and agree with
your following conditions, and also th e Service fee will be charged to my cred it card account, if I don't return t he Loan units
within the speci ed period. I also con rm following information is correct. Regards.
Application Sheet for TravelCare Service Program
P-1/ ,
Country,
product purchased :
User's Company Name :
User's Company Address :
Phone No., Fax No. :
User's Name :
User's Address :
Phone No., Fax No. :
Local Contact of ce :
Local Contact of ce Address :
Phone No., Fax No. :
User's Model Name :
Date of Purchase :
Serial No. on cabinet :
Problem of units per User :
Required Service : (1) Repair and Return (2) Loan unit
Requested period of Loan unit :
Payment method : (1) Credit Card (2) Travelers Cheque (3) Cash
In Case of Credit Card :
Card No. w/Valid Date :
Date: / / ,