User's Manual

5.2Service Form
Always return a copy of this
form along with the product
CONTACT
Company _____________________________
Address ______________________________
Country ______________________________
Sales Order ___________________________
PO Number ___________________________
Purchase Date _________________________
Return Authorisation number (RMA) ______________
Date ________________________________________
Technical Contact _____________________________
Telephone ___________________________________
Fax _________________________________________
Email _______________________________________
PRODUCT
From OEM label on the back of the equipment:
Model __________________________
P/N ___________________________________
D/C ___________________________________
S/N ___________________________________
MLC __________________________________
(first number in order after black dots)
Describe any hardware modifications made to the unit and modification date:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
REASON FOR RETURN
Describe problems (see Reporting a Problem):
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
RETURN TO*
If purchased from Magellan:
Magellan Technology Pty Limited
65 Johnston St.
Annandale
NSW 2038
Australia
Tel.: [phone]
Fax: [phone]
Email: [e-mail]
Website: www.magtech.com.au
* End-users should contact the company from whom they purchased the Reader
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