Texas Instruments 3000 - Manual (Page 200)

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
q 2 MB RAM Module Kit
q Numeric Keypad
q 80387SX 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
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Card Number Exp. Date
Description of Problem (attach extra sheet if necessary)