
Part Request Form
RMA#
Closed
Company Name
Street Address
City/State/Zip Code
Contact
Phone
Fax
Purchase Order Number
Call ID #
Model Type
Warranty
Y
N
System Serial #
(as found on back panel)
System Configuration Information:
System S/W
Version
Type of failure:
Solid
Intermittent
Peripherals:
DAT
Floptical
CD-ROM
Other________
Voltage:
110
220
Disk (MB/GB)
Memory (MB):
Problem description (please describe symptoms, error messages and actions taken):
Date
Date:
Failed part information:
Part Number:
Revision:
For fast service, please complete
this form in its entirety!
Содержание IRIS Indigo
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