Com-Tech Electronics

NAME:______________________________   PHONE:_____________________________
COMPANY / ORGANIZATION:________________________________________________________  
SHIPPING ADDRESS:_______________________________________________________________
CITY:_______________________________STATE:__________________________ZIP:__________  
EQUIPMENT MAKE / MODEL:________________________________________________________
SERIAL #:_____________________________________  CIRCLE PROBLEMS BELOW:  
ONE ITEM PER REPAIR SHEET PLEASE  
 
DEAD   BROKEN HOUSING   POOR TX AUDIO UNKNOWN PROBLEM
INTERMITTENT WON'T RESET   NO TX   REPLACE ANTENNA
NOT ALERTING FALSES   NO RX   MIC BROKEN  
POOR RX AUDIO DROPPED   ANTENNA PROBLEM  
POOR RANGE BATTERY COMPARTMENT REPLACE BATTERIES IF BAD  
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PLEASE CIRCLE THE ITEMS LISTED BELOW INCLUDED WITH THIS REPAIR:  
RUBBER ANTENNA   BATTERY   CHARGER BASE MOBILE ANTENNA  
CHARGER WALL SUPPLY SPEAKER MIC MOBILE MIC  
OTHER ACCESSORIES:_____________________________________________________________
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PLEASE REPAIR THIS UNIT: X______________________________DATE:____________________  
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SHIPPING LABEL: COM-TECH ELECTRONICS  
  5 KREY BLVD.    
  RENSSELAER, NY 12144  
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