Cheney Brothers Flat Rate Repair Maintenance Contract

Return Repaired Units to: Cheney Brothers Inc.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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CONTRACT INFORMATION

CONTRACT#: VPO022802

THIS FLAT RATE REPAIR MAINTENANCE CONTRACT COVERS A SET OF DEVICES EVERY QUARTER, APPROVED DEVICES ARE: VH10, LS3608, LS3408, LI4278, WT41N0, RS419 AND RS50X. ANY QUESTIONS OUTSIDE OF THESE DEVICES, PLEASE SEE OSCAR REVILLA.

Serial Number

Problem With Unit

Do You Have Another Unit To Return?

Yes
No

Serial Number

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Do You Have A Third Unit To Return?

Yes
No

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Problem With Unit

Do You Have A Fourth Unit To Return?

Yes
No

Serial Number

Problem With Unit

Do You Have A Fifth Unit To Return?

Yes
No

Serial Number

Problem With Unit

Do You Have A Sixth Unit To Return?

Yes
No

Serial Number

Problem With Unit

Do You Have A Seventh Unit To Return?

Yes
No

Serial Number

Problem With Unit

Do You Have An Eighth Unit To Return?

Yes
No

Serial Number

Problem With Unit

Do You Have A Ninth Unit To Return?

Yes
No

Serial Number

Problem With Unit

NOTE: RMA NUMBER should be written on the outside of all shipping containers.

A copy of this form will be emailed to you upon completion. Include a copy of the form in the box that you are shipping. Please ship via insured carrier. POSDATA is not responsible for damage incurred during shipment to repair facility.

Cheney Brothers Flat Rate Repair Contract RMA

CONTRACT INFORMATION

POSDATA GROUP, INC. HQ

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