CYBEX XP4010 : User guide : Page 143

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Appendix B

Customer Problem Report

Today’s Date: ____________________ Your Name: ____________________

Phone Number:___________________ Fax Number: ___________________

Date problem first began:__________________________________________

Problem Description:

________________________________________________________________

XPAC/XPAB Channels Affected: ________ XPLU/XPDU Channels Affected: ________

XPXT/XPST Channels Affected: ________ XPXR/XPSR Channels Affected: _______

TX4400/RX4400 Channels Affected: ________________________________________

XP4010, 4040, 4080 or XP4400 unit?Front or Rear Access? ___________

Problem Resolution: (Fill this section out for your future reference)

________________________________________________________________

In case of a problem, fax Appendices A and B to your Cybex Technical

Support Representative for the best possible service.