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D-2 Appendix D
W.H. Brady Company
Customer Service Form
Complete this form before requesting technical assistance.
Serial Number: _____________________________________________
Model Number: _____________________________________________
(Be specific, include ALL letters and numbers)
Company: _________________________________________________
Address: ___________________________________________________
City: _____________________________________________________
State, Zip: _________________________________________________
Phone: (____)_______________________________________________
Contact: ___________________________________________________
Hours available for return call: _________________________________
Hardware interface type: ______________________________________
Unit interfaced with: _________________________________________
Description of problem, including actions taken just prior to problem
occurring:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
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