GCC Technologies Puma Series - Spare Parts Reordering Form

58
T
Spare Parts Reordering Form
星雲電腦股份有限公司
he Electro-Optical Automation company
Customer Service Request Form
Part Request
RMA Request RMA# Date:
Company Name ：
Contact Person ： Phone ： Fax ：
Address ：
Product Name:
Model Number:
Ser i a l Number ：
Date of purchase:
Part No ： Part Name . ：
Qty Payment U / Pr i ce Sh i p date
F.O.B F.O.C SAS
US$195.00
F.O.B F.O.C SAS
F.O.B F.O.C SAS
F.O.B F.O.C SAS
F.O.B F.O.C SAS
F.O.B F.O.C SAS
F.O.B F.O.C SAS
F.O.B F.O.C SAS
F.O.B F.O.C SAS
F.O.B F.O.C SAS
Problem Descr i pt i on ：
Correct Act i on Taken & Current Cond i t i on ：
Comment ： (be l ow filled out by G . C . C)
Shipping way:
EMS DHL UPS FEDEX With Sales Order Others:
Freight Charge :
Collect Prepaid Others:
● Please sign back to confirm your service request.