1. Information given by:
2. Information received by:
3. Has anyone helped you:
4. Distributor:
5. End-User:
6. Phone Number:
7. Make and Model for PTO:
8. AUTO CRANE Serial #:
9. Make and Model of Engine:
10. Engine:
11. Transmission:
12. Nature of Problem:
13. Engine RPM:
14. Compressor RPM:
15. Action Taken:
ADDITIONAL COMMENTS:
SERVICE QUESTIONNAIRE
Yes
37
DATE: _______________
No