National 5200 PANTHER, Instruction Manual

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Page 73
5200 & 5200QL RETURN SHEET
Company Name
Contact Name
Telephone Number
Approximate Usage (hours)
Problems Encountered
Check One: Repair
Do you wish to be contacted before repairing Yes No
Return
Contact National if a loaner is needed
Return Authorization Number Date
Customer Number
Purchased From
required, contact National
INTERNAL USE ONLY
Date Received
Unit Serial Number
Subject To Warranty
if known
if not directly from National