DLC USB Driver Installation Manual
Service Form
Your Local Representative
Tel.: __________________
Fax:___________________
Name: _________________________________________________ Return authorization #: ____________________________________
Company:_______________________________________________ (Please obtain prior to return of item)
Address:________________________________________________ Date: __________________________________________________
Country:________________________________________________ Phone Number: __________________________________________
P.O. Number:____________________________________________ Fax Number: ____________________________________________
Item(s) Being Returned:____________________________________
Model#: ________________________________________________ Serial #: ________________________________________________
Description: ________________________________________________________________________________________________________
Reasons of return of goods (please list any specific problems): ________________________________________________________________
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