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7. Appendix
TO: NEC or NEC's Authorized Service Station:
FM:
(Company & Name with signature)
Dear Sir (s),
I would like to apply your TravelCare Service Program based on attached registration and quali cation sheet and agree with
your following conditions, and also the Service fee will be charged to my credit card account, if I don't return the Loan units
within the speci ed period. I also con rm following information is correct. Regards.
Application Sheet for TravelCare Service Program
P-1/ ,
Country,
product purchased :
User's Company Name :
User's Company Address :
Phone No., Fax No. :
User's Name :
User's Address :
Phone No., Fax No. :
Local Contact of ce :
Local Contact of ce Address :
Phone No., Fax No. :
User's Model Name :
Date of Purchase :
Serial No. on cabinet :
Problem of units per User :
Required Service : (1) Repair and Return (2) Loan unit
Requested period of Loan unit :
Payment method : (1) Credit Card (2) Travelers Cheque (3) Cash
In Case of Credit Card :
Card No. w/Valid Date :
Date: / / ,
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