MFJ Menu Driven Memory Keyer -492 Instruction Manual page 3

[] Mirage (662) 323-8287
[] Vectronics (662) 323-5800
Reference No. Date Received:
7 Ship Date:
300 Industrial Park Road
36254
UPS:
Parcel Po oe
Starkville, MS 39759
Customer Ref. No.:
2 &
Phone:
"Other:
fades
SHIP TO
EE RY eee
Model No. Race Ce ee Other:
© Exchange for Model No.___ O In Warranty ( CNoCharge [Charge Shipping )
Purchased from: Date:
@ Part
Request
Ne 4
\ Q
Gut of Warranty
ee Card AP. [] CoD
O-VISA afr "a d O AMEX _ OQ Discover [] Advance Payment: $ Date:
Card No.: ry he h e s
C e ZO20 © Personal Check
© Money Order
© Certified Check
Exp EM OgisE se Jaane To C1] Net 30 P.O.#
| CUSTOMER |
Technician Comments:
if)
a 5S
Ss '
Repair Time ae j
Minutes: peer arya Wie Date: 6 2) -D3
CL] Check / Money Order
1) Net 30 days
(] Credit Card
© VISA O MasterCard © American Express © Discover
eee ee)
DEAR VALUED CUSTOMER:
C) Please return old eprom with this form.