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Racal Instruments
REPAIR AND CALIBRATION REQUEST FORM
To allow us to better understand your repair requests, we suggest you
use the following outline when calling and include a copy with your
instrument to be sent to the Racal Repair Facility.
ModelS
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No.D
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Company NameP
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Order #
Billing Address
City
State/Province Z i p / P o s t a l Code C o u n t r y
Shipping Address
City
State/Province Z i p / P o s t a l Code C o u n t r y
Technical ContactP
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Number ( )
Purchasing ContactP
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Number ( )
1. D e s c r i b e , in detail, the problem and symptoms you are having. Please include
all set up details, such as input/output levels, frequencies, waveform details, etc.
2. I f problem is occurring when unit is in remote, please list the program strings
used and the controller type.
3. P l e a s e give any additional information you feel would be beneficial in facilitating
a faster repair time (i.e., modifications, etc)
4. I s calibration data required?
Call before shipping
Note: We do not accept "collect" shipments.
Yes N o ( p l e a s e circle one)
Ship instruments to nearest support office
listed on back.
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