TI150 Series Hardwired Battery Charger/Conditioner
25
Repair Request Form
Please complete the information below to ensure prompt and accurate service. Include this form with the unit you are returning.
Thank you.
Date of return: ________________________
Company name &
____________________________________________________________________
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____________________________________________________________________
Billing address:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Contact person: ________________________________________________________________________________
Phone #: _____________________________________
Fax #: ______________________________________
Email:
_______________________________________________________________________________________
Purchase Order #:
______________________________________________________________________________
Model #: ____________________________________ Serial #: ________________________________________
Model #: ____________________________________ Serial #: ________________________________________
Shipping method to Tesla™: ______________________________________________________________________
Description of shipping package:
________________________________________________________________
Description of problem:
_________________________________________________________________________
_________________________________________________________________________________________________
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Return to Tesla™
101 Centerpoint Boulevard, New Castle, DE 19720 Attention: Repair Department
