Service Form
Newport Corporation
USA Office: 949/863-3144
FAX: 949/253-1800
Name
RETURN AUTHORIZATION #
Company
(Please obtain prior to return of item)
Address
Country
Date
P.O. Number
Phone Number
Item(s) being returned:
Model #
Serial #
Description
Reason for return of goods (please list any specific problems)
List all control settings and describe problem
(Attach additional sheets as necessary)
Show a block diagram of your measurement system including all instruments connected (whether
power is turned on or not). Describe signal source. If source is laser, describe output mode, peak
power, pulse width, and repetition rate.
(continued on next page)
Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com
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