Acorto 2000s - Page 153

Returnr
Authorization
Form
The
following
items
must
be
completed
on the
Return
Authorization
Form.
If the
form
is not completed,
a25Vo
handling
fee
will be
charged.
Direction
1. List
your
service
agency
and
address;
sign and
date
the
form
2.
Quantity
of the
parts
being
returned
3.
The
part
number
of
the
part
being
returned
4. A dlescription
of the
part
being
returned
5.
Thr:
Return Material
Tag
number
6. Thr:
model and
serial
number
of the
machine the
part
was removed
from
and the
date
removed
7. lf
you
have multiple
tags
to
send
back,
attach
all of
them to a single
RA
form.
Do not send
a single
tag
for
each form
8. Sarre
the
green
copy
and
send
the
remaining copies
back
to Acorto
OATSi
CIRI{€R:
X-
_*-._
zlP
CODgi
-.-
SATE:
^.*,**-
WANRA}{fY II
i€frf t)
F*lott l,rn
gtl,
*-
C0tttml
ts ComFlte
-'-'-"'^
{O!f.itr
ser
hb,
k1€'/3x'
1
*i
*'
Pe'
il4tl'it
kn*
ldb'
M
Es4od
t@
*cnqi:
j
KruFxlo
: uOo€r
a
gtslr
oEscRlPTlON
I
*i"tf
if.
,
xixs*
taET
CR€D'T
4tw
*rliffi
: ldi,,.:,,
2!':
cllgloltEf
Itn€El
crn'
I 3rAT:
8{ir*ATUIS
RETURN
AUTI*ORIZATICIN
FORTII
{pA*TSOf{LY}
r:1.
(FOR
FAS?ORYtjg€OlsY
-PLflrEso
t{o?llltffg
iFff}
nEc{'vt! BY.
0 3E COUPLETEO
EY
CUsloffeR,
'16-8
Acorto
2000s/i
Technical
SuPPort