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13
Installation Report
Date of Installation:
/ /
Site Information:
(Print clearly or type)
FACILITY:
ADDRESS:
CITY, STATE:
CONTACT AT SITE:
PHONE: ( ) FAX: ( )
Biodex Representative:
Installation Start Time:
Serial Number:
Model Number:
Software Version:
Firmware Version:
Biodex Contacts:
1-800-224-6339
Software Support-ext. 2120
Technical Support-ext. 2116
Technical and Software Support-ext. 2241 Clinical Education-ext. 2253
Sales-ext. 2802