Desert Aircraft DA35 Owner's Manual page 10

Repair/Return Form

(Please make copy)

Please fill out and enclose this form when shipping items for service. Pack items carefully!

Customer Name_________________________________ Date___________

Address________________________________________________________

City______________________ State______ Zip_________ Country________

Phone #_________________ Cell #__________________

Email _________________________

Items in Box:

DA35 Serial #__________ DA50 Serial #__________ DA60 Serial #__________

DA70 Serial #__________ DA85 Serial #__________ DA100 Serial #_________ DA100i Serial

#________ DA120 Serial #_________ DA150 Serial #_________ DA170 Serial #_________

DA200 serial #_________ Other________________

Single Ignition Serial # ________

Twin Ignition Serial # ________

(Below items normally not required to repair or test the engine)

Prop Bolts? ___________

Standoffs? ____________

Prop washer? _________

Muffler(s)? ____________

Muffler screws_________

Other Items? __________

REASON FOR ENGINE AND/OR IGNITION RETURN?

Crash: Yes____ No____

Other_________________________________________

________________________________________________________________________________

________

________________________________________________________________________________

________________________________________

Prop used? ______________

Oil used? _____________

Gas type? _____________

Exhaust system type? __________________

Has the engine been sent in for service before? _______Why?________________

______________________________________________________________________

DESERT AIRCRAFT

1815 S. Research Loop

Tucson, AZ 85710

520 722 0607

info@desertaircraft.com

www.desertaircraft.com

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