Repair Contact Form - Kasco EJ Series Operation & Maintenance Manual

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REPAIR CONTACT FORM

Kasco requires that all equipment sent for repair MUST be
accompanied by this form and marked to Repairs attention.
Unit should be cleaned before shipping.
Kasco is NOT responsible for shipping damage accrued in
return shipment.
It is the responsibility of the customer to ship and pay freight
to Kasco.
Note: Contact information should be that of the person or company to contact for repair information.
Company name
First name
Contact name
Address line 1
Address line 2
Address
Country
Postal Code
Primary
Phone number
Email address
Preferred method of
contact (circle one)
Purchase order
number
Serial Number
Additional product
information
Was this unit used in a chemical treatment or wastewater
application? (circle one)
Additional notes
Phone
Email
Information for Repair Technician
Kasco Marine
800 Deere Road
Prescott, WI 54021
Attn: Repairs
Last name
Alternate
Cord Length
Yes
LARGE EJ SERIES FOUNTAIN MANUAL
No
15

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