Panasonic EYFLA4 Quick Manual page 29

Point of Conact
Panasonic
Distributor / Rep
Customer
Distibutor / Rep Information
Dist / Rep Name
Company Name / Address
EmailAddress
Phone #
Return To Dist/ Rep
Do Not Require Signature For Return Shipment
Tool Information
Please check mark the box below if included in shipment and
please keep your Charger, Remote and Controller Power Cable (Unless Needing Repaired)
Tool Model #
Tool Serial #
Battery Serial #
Controller Model #
Controller Serial #
Other
Issue or Problem
Comments
Date Returned
Shipped Via
In addition, any tools not repaired will have a $25.00 diagnostic fee and the choice to return the tool or dispose the tool at Panasonic.
Repair Equipment Worksheet
Returning Product Information
* In efforts to help reduce costs and speed up turn around time for repairs, we require a $100.00 pre-approval.
Todays Date
Date Rec'd
Rec'd By
Customer Information
Customer Name
Company Name / Address
EmailAddress
Phone #
Return To Customer
Order Information
Warranty only - please include a copy of the PO with the date of purchase.
Panasonic Invoice #
Distibutor / Customer PO #
Shipping / Warranty
Urgency of Repair
Warranty
Estimate To Be Given
Estimate Approved By
Estimate Approval Date
Panasonic Assembly Tools
4900 George McVay
McAllen, TX 78503
Exception High
(UPS RED) (No Backups)
Yes No
Yes No
Suite B
Normal