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SERVICE REQUEST FORM
Please copy and complete this form as completely as possible and return it to Apex or
an authorised Apex service centre together with the defective unit.
Name/Company:...........................................................................................................................................
Adress:.............................................................................................................................
..............................................................................................................................
Telephone:........................................ Country:................................................................
Model No:......................................... Serial No:..............................................................
Purchased from:............................... Date:......................................................................
• Describe symptoms of malfunction:
• Under what conditions does the malfunction occur?
A. All the time
B. After a while
C. At high signal levels
D. At high temperatures
E. Other (please explain)
• How often did the problem occur?
• What did you do to isolate the problem to this unit?
• Further comments