Supra SW5L65D Service Manual page 4

SUPRA APPLIANCES
101, 3rd St.,
Kentwood, LA, 70444
Tel: 1-877-44-SUPRA
Fax: 985-229-4334
Contact us at bbilliot@supraamerica.org
CUSTOMER / SERVICE CENTER INFORMATION
Name :
Service Center :
Full Address
City:
Tel/Fax #
Email:
PRODUCT DETAILS
Supra Model #
Description
Wiring Diagram Document #
No. of Defective units
DESCRIPTION OF THE PROBLEM (Include as much information as you can)
SERVICE PROCEDURE TO BE FOLLOWED TO RECTIY PROBLEM
ANY PARTS TO BE REPLACED
SERVICE MANUAL REFERENCE
Submitted by
Date :
Footnote:
Please attach additional pages if required.
Fax Fault report to 985-229-4334; Email Fault report to bbilliot@supraamerica.org
Download fault report form from www.supraservice.com, subpage Product Service Manual refer download box
FAULT REPORT
State :
Fault Ref. #
Pin:
Purchase Date
Serial #
Exploded view #
Voltage
Solution Provided by
Date: