Blendtec EZ 600 - Page 54

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FORM TO SEND WITH BLENDER FOR REPAIRS/REPLACEMENT
(Please make a copy of this form�)
Name: __________________________________________________________________
Company: _______________________________________________________________
Store: ___________________________________________________________________
Address: _________________________________________________________________
Phone #: ________________________________________________________________
Serial # (found on the underside of the motor base): ____________________________
Cycle Count: _____________________________________________________________
Purchase Date: ___________________________________________________________
Place of Purchase: ________________________________________________________
An explanation of the problem: ______________________________________________
_________________________________________________________________________
_________________________________________________________________________