H-2 Appendix H – Factory Service
H.1 Service Form
Newport Corporation
U.S.A. Office: 800-222-6440
FAX: 949/253-1479
Name ___________________________________ RETURN AUTHORIZATION # ________________
(Please obtain prior to return of item)
Company ___________________________________________________________________________
Address _______________________________________________ Date ________________________
Country ________________________________________ Phone Number _______________________
P.O. Number ____________________________________ FAX Number ________________________
Item(s) Being Returned:
Model # __________________________________ Serial # ___________________________________
Description: _________________________________________________________________________
Reason for return of goods (please list any specific problems) __________________________________
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