Edwards EV1000A

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URGENT FIELD SAFETY NOTICE
ADDENDUM
FCA #128
EV1000
Model Numbers: EV1000A, EV1000NI
Lot Numbers: All lots for models listed
CUSTOMER ACKNOWLEDGEMENT
<Contact name or Dept.>
<Firm Name>
<Attention: RISK MANAGEMENT>
<Address>
<City/state/zip>
Please follow all instructions below to complete the acknowledgement process.
Complete this acknowledgement form to confirm that you received this addendum:
• DO NOT return any product
• Email the completed form to Edwards Tech Support at tech_support@edwards.com,
within 10 days from receipt of this notification
Name (Print):
Title/Dept.:
Firm Name:
Telephone Number:
Signature:
Date:
Please return this form via email to Edwards Tech Support at tech_support@edwards.com
Support at: <phone>