CIRCUIT DIAGRAMS REQUEST FORM
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Circuit Diagrams Request Form
Circuit Diagrams Request Form
All the information that you require for operation of the Axopatch 200B is included in the operator's manual. In
the normal course of events, the Axopatch 200B does not require any routine maintenance. If, for some reason,
the headstage is changed, the Axopatch 200B must be recalibrated. In anticipation of this, the recalibration
procedures are described in the operator's manual, and circuit diagrams are not required.
Should you need the circuit diagrams for the Axopatch 200B, Axon Instruments will be pleased to supply them
to you. However, we caution you that the Axopatch 200B is a sophisticated instrument and that service should
only be undertaken by talented electronics experts.
To request a copy of the circuit diagrams and the parts lists, please complete the form at the bottom of this page
and mail it to:
Axon Instruments, Inc.
Sales Department
1101 Chess Drive
Foster City, CA 94404
USA
This form must be completed in full and signed. Telephone orders will not be accepted.
Name of registered owner: __________________________________________________________________
Department: _____________________________________________________________________________
University/Institute: _______________________________________________________________________
Street address: ___________________________________________________________________________
City: ___________________________ State: ______ Zip Code: __________ Country: ________________
Telephone: ________________________________________ Fax:__________________________________
Model: Axopatch 200B Serial number: ________________
Declaration
Please send me the circuit diagrams and parts lists for the Axopatch 200B. I agree that I will only use the circuit
diagrams and parts lists for service of the Axopatch 200B. I will not use them to create equivalent or competing
products. If I transfer the circuit diagrams or copies thereof to someone who is assisting in the service of the
Axopatch 200B, I will ask them to make the same undertaking that I am declaring herein.
Signature: ______________________________________________ Date: _______________________
Name: _________________________________________________ Title: _______________________
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