Texas Instruments TravelMate 3000 User Manual page 200

Your name and address
Your Name
Company Name
Address
City State
Phone number ( )
Product serial number
Unit(s) you are returning (check where applicable)
q
TravelMate 3000
q
2 MB RAM Module Kit
q
Numeric Keypad
q
80387SX Coprocessor
q
Internal Modem
q
AC Adapter
q
Internal Battery
Type of Claim
q
Warranty claim (attach proof of purchase)
q
Maintenance contract (Agreement No.
q
My purchase order number
q
My check is enclosed.
q Charge to my credit card. q
L L L L L L L L L L L L L L L L L L L L
Card Number
-Zip Code
Ext.
q
MC VISA
Repair Request Form
q
AMEX
L L L L
Exp. Date