Repair Request Form - Tesla TI5676 MPU User Manual

Please complete the information below to ensure prompt and accurate service. Include this form with the unit you are returning.
Thank you.
Company name &
Billing address:
Contact person: ________________________________________________________________________________
Phone #: _____________________________________
Email: _______________________________________________________________________________________
Purchase Order #: ______________________________________________________________________________
Model #: ____________________________________
Model #: ____________________________________
Shipping method to Tesla™:
Description of shipping package:
Description of problem:
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101 Centerpoint Boulevard, New Castle, DE 19720 Attention: Repair Department
TI5676 MPU-24

Repair Request Form

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Return to Tesla™ Industries, Inc.
Date of return: ________________________
Fax #: ______________________________________
Serial #: ________________________________________
Serial #: ________________________________________
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