Desert Aircraft DA85 Owner's Manual page 11

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Repair/Return Form

Please make copy

Please fill out and enclose this form when shipping items for service

Customer Name_________________________________ Date___________

Address________________________________________________________

City______________________ State______ Zip_________ Country________

Phone #_________________ Cell #__________________

Email _________________________

Items in Box:

DA50 Serial #__________ DA85 Serial #__________DA100 Serial #__________

DA150Serial #__________

Single Ignition Serial # ________

Twin Ignition Serial # ________

Prop Bolts? __________

Prop washer? ________

Muffler(s)? ___________

Standoffs? ____________

Other Items? __________

REASON FOR RETURN? ___________________________________________________

________________________________________________________________________

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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