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8.3
Service Form
Newport Corporation U.S.A.
Office: 800-222-6440
FAX: 949/253-1479
Name _______________________________
Return Authorization #__________________
(Please obtain RA# prior to return of item)
Company ________________________________________________________________________
(Please obtain RA # prior to return of item)
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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