Panasonic Assembly Tools
4900 George McVay
Suite B
McAllen, TX 78503
Point of Conact
Panasonic
Distributor / Rep
Customer
Todays Date
DateRec'd
Rec'dBy
Dist / Rep Name Customer Name
Company Name / Address Company Name / Address
EmailAddress
Phone #
EmailAddress
Phone #
Return To Dist/ Rep Return To Customer
Panasonic Invoice #
Distibutor / Customer PO #
Tool Model #
Tool Serial#
Battery Serial#
Controller Model #
Controller Serial #
Warranty Yes No
Other Yes No
Estimate To Be Given
Estimate Approved By
Estimate Approval Date
Issue orProblem
Comments
Date Returned
Shipped Via
* In efforts to help reduce costs and speed up turn around time for repairs, we require a $100.00 pre-approval.
In addition, any tools not repaired will have a $25.00 diagnostic fee and the choice to return the tool or dispose the tool at Panasonic.
Repair Equipment Worksheet
Shipping / Warranty
Returning Product Information
High
(No Backups)
Exception
(UPS RED)
NormalUrgency of Repair
Distibutor / Rep Information Customer Information
Please check mark the box below if included in shipment and Warranty only - please include a copy of the PO with the date of purchase.
Do Not Require Signature For Return Shipment
please keep your Charger, Remote and Controller Power Cable (Unless Needing Repaired)
Tool Information Order Information
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