5.2Service Form
Always return a copy of this
form along with the product
C
O
N
T
A
C
T
Company _____________________________
Address ______________________________
Country ______________________________
Sales Order ___________________________
PO Number ___________________________
Purchase Date _________________________
Return Authorisation number (RMA) ______________
Date ________________________________________
Technical Contact _____________________________
Telephone ___________________________________
Fax _________________________________________
Email _______________________________________
P
R
O
D
U
C
T
From OEM label on the back of the equipment:
Model __________________________
P/N ___________________________________
D/C ___________________________________
S/N ___________________________________
MLC __________________________________
(first number in order after black dots)
Describe any hardware modifications made to the unit and modification date:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
R
E
A
S
O
N
F
O
R
R
E
T
U
R
N
Describe problems (see Reporting a Problem):
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
R
E
T
U
R
N
T
O
*
If purchased from Magellan:
Magellan Technology Pty Limited
65 Johnston St.
Annandale
NSW 2038
Australia
Tel.: +61 2 9562 9800
Fax: +61 2 9518 7620
Email: [email protected]
Website:
* End-users should contact the company from whom they purchased the Reader
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