Enter up to 5 terminal serial numbers and a complete description of the problem or upgrade.
If you have requested immediate turn-around (24-48 hours) of this equipment, please enter your name below. "I understand that the equipment listed above for service has not undergone full burn-in / test procedures and that it may or may not function properly upon return to me. I accept full responsibility in the event the equipment fails as a result of my request for immediate turn-around."
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