Repair/Return Form
(Please make copy)
Please fill out and enclose this form when shipping items for service
Customer Name_________________________________ Date___________
Address________________________________________________________
City______________________ State______ Zip_________ Country________
Phone #_________________ Cell #__________________
Email _________________________
Items in Box:
DA50 Serial #__________ DA60 Serial #__________ DA85 Serial #__________
DA100 Serial #_________ DA120 Serial #_________ DA150 Serial #_________
DA170 Serial #_________ DA200 serial #_________ Other________________
Single Ignition Serial # ________ Twin Ignition Serial # ________
Prop Bolts? ___________
Prop washer? _________
Muffler(s)? ____________ Muffler screws_____________
Standoffs? ____________
Other Items? __________
REASON FOR RETURN?
Crash: Yes___ No____ Other_________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Oil used? _____________
Gas type? _____________
Exhaust system type? __________________
Has the engine been sent in for service before? _______Why?________________
______________________________________________________________________
______________________________________________________________________
DESERT AIRCRAFT
1815 S. Research Loop
Tucson, AZ 85710
520 722 0607
[email protected]
www.desertaircraft.com
Содержание DA120
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