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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 #__________ DA85 Serial #__________DA100 Serial #__________
DA150Serial #__________
Single Ignition Serial # ________ Twin
Ignition Serial # ________
Prop Bolts? __________
Prop washer? ________
Muffler(s)? ___________
Standoffs? ____________
Other Items? __________
REASON FOR RETURN? ___________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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