Texas Instruments 3000 WinSX - Manual (Page 215)

Repair Request Form
Your name and address
Your Name
Company Name
Address
City State Zip Code
Phone number ( ) Ext.
Product serial number
Unit(s) you are returning (check where applicable)
q TravelMate 3000 WinSX Computer q Expansion Station
q 2 MB RAM Module Kit q SCSI Adapter
q Numeric Keypad q Ethernet LAN Adapter
q 80387SX Math Coprocessor q Internal Modem
q AC Adapter q Internal Battery
Type of Claim
q Warranty claim (attach proof of purchase)
q
Maintenance contract (Agreement No. )
q My purchase order number
q My check is enclosed.
q Charge to my credit card. q MC q VISA q AMEX
Card Number Exp. Date
Description of Problem (attach extra sheet if necessary)