ALSPA PROFIBUS Field Bus Coupler Appendix C. Fault Return Form
(09/06) Technical Manual Page C3
Goods Returned/Requested
(please tick)
Warranty
Sales Order No. supplied on
__________________________
Non Warranty
Please give Order Number
__________________________
Engineer’s Name:
(Print)
Engineer’s Signature:
Date Repair Completed:
Service Contract
Please give Order Number
__________________________
For Credit
Credit returns must have approval
before return
Note: All non-warranty items
must be accompanied by a valid
customer order number.
Customer Satisfaction Report: For
Warranty Items
I, name
_________________________________
______
Signature ___________________
Date ____________
Acknowledge that the product failure
repair referred to on this report has been
satisfactorily completed.
Converteam USE ONLY
Copy to Development
PRODUCT RETURN NUMBER
Credit Note Authorisation: Date
______________
Approved by:
Name:
___________________________
____________
Signature: __________________
Date ______________
Please contact Special Products Dept. for
Product Return No. Tel: (01782) 781128.
Returned goods will not be accepted
without a valid Product Return No. & copy
of this form.
K5017.7
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