Racal Instruments X Series Manual page 33

Adapt-a-switch carrier module
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1260-100X User Manual
Repair and Calibration Request Form
To allow us to better understand your repair requests, we suggest you use the following outline
when calling and include a copy with your instrument to be sent to the Racal Repair Facility.
Model
Company Name
Billing Address
State/Province
Shipping Address
State/Province
Technical Contact
Purchasing Contact
1. Describe, in detail, the problem and symptoms you are having. Please include all set up details,
such as input/output levels, frequencies, waveform details, etc.
2. If problem is occurring when unit is in remote, please list the program strings used and the controller
type.
3. Please give any additional information you feel would be beneficial in facilitating a faster repair
time (i.e., modifications, etc.)
4. Is calibration data required?
Call before shipping
Note: We do not accept
"collect" shipments.
Racal Instruments © 2005
Serial No.
Purchase Order #
Zip/Postal Code
Zip/Postal Code
Phone Number (
Phone Number (
Yes No
(please circle one)
Ship instruments to nearest support office.
Date
City
Country
City
Country
)
)
Product Support 5-3

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