Boss Infinity - Service Questionnaire

37
DATE:__________
1. Information given by:______________________________________________
2. Information received by:____________________________________________
3. Has anyone helped you: Yes______ No______
4. Distributor:_____________________________________________________
5. End-User:________________________________________________________
6. Phone Number:___________________________________________________
7. Make and Model for PTO:__________________________________________
8. BOSS INDUSTRIES Serial #:_______________________________________
9. Make and Model of Engine:_________________________________________
10. Engine:________________________________________________________
11. Transmission:___________________________________________________
12. Nature of Problem:________________________________________________
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13. Engine RPM:_____________________________________________________
14. Compressor RPM:________________________________________________
15. Action Taken:_____________________________________________________
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Additional Comments:___________________________________________________
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SERVICE QUESTIONNAIRE