Repair Request Form - Tesla TI45014D User Manual

Battery charger/conditioner

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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 #: ____________________________________

Shipping method to Tesla™:

Description of shipping package:

Description of problem:

_________________________________________________________________________________________________

101 Centerpoint Boulevard, New Castle, DE 19720 Attention: Repair Department

TI45014D Battery Charger/Conditioner

Repair Request Form

____________________________________________________________________

______________________________________________________________________

________________________________________________________________

_________________________________________________________________________

Return to Tesla™ Industries, Inc.

Date of return: ________________________

Fax #:

______________________________________

Serial #:

________________________________________

Serial #:

________________________________________

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