Return a copy of this form
along with the product
to Siskiyou Corporation
Toll free 1-877-313-6418
siskiyou
Fax 1-541-479-3314
SF9
List all control settings and describe problems _________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Diagram
REASON FOR
RETURN
Email addresses:
Siskiyou Corporation
RA# _________________
110 S.W. Booth Street
Grants Pass, OR 97526-2410
Website: www.siskiyou.com
U.S.A.
RETURN TO
RA Number
must
be clearly written on
the outside of the
shipping carton
Company _______________________________________
Return Authorization No. _____________________________
Note: Call the toll free number prior to returning the item.
Address
_______________________________________
City, St Zip _______________________________________
Date _____________________________________________
Country
_______________________________________
Technical Contact ___________________________________
Sales Order _______________________________________ Telephone
_________________________________________
PO Number _______________________________________
Fax ______________________________________________
Purchase Date ____________________________________
Email ______________________________________________
Model Number _____________________________________
Serial Number ______________________________________
Describe any modifications made to the unit ____________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
CONTACT
PRODUCT
Service Form
2