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Allon
®
User Manual
DDT-063-000 Rev C Belmont Medical Technologies Page
104
of
106
A
PPENDIX
A: C
USTOMER
S
ERVICE
Belmont Medical Technologies
C
USTOMER
S
ERVICE
R
EPRESENTATIVE
WARNING!!!
The following details are necessary to contact
your Belmont Medical Technologies
representative. Keep this form with the User’s
Manual for easy access for scheduling annual
periodic maintenance and/or for servicing
needs.
Representative
Name:
Company
Name:
Address:
Telephone No:
Fax:
E-mail:
Passcode for Settings Screen: