Memotec CX950

CX950 Hardware Reference Manual
B-4
3021M100-001
Return for Repairs
RA#: ___________________________________________
Material being returned:
SO#: ___________________________________________
PO#: ___________________________________________
Returned To: _____________________________________
Customer Name: __________________________________
Address:
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Returned By:_____________________________________
Date: ___________________________________________
Reason for return
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