MOTOROLA, INC.
COMMUNICATIONS SECTOR
TEST EQUIPMENT SERVICE
DEPOT
1308 PLUM GROVE ROAD
SCHAUMBURG, ILUNOIS 60173
MOTOROLA, INC.
COMMUNICATIONS SECTOR
TEST EQUIPMENT SERVICE CENTER
2333 B. UTAH AVENUE
EL SEGUNDO. CA
TEST EQUIPMENT SERVICE REQUEST FORM
This completed form must accompany equipment returned
for service.
CUSTOMER'S PURCHASE ORDER NO.
I
DATE
I
MODEL NUMBER
I
SERIAL NUMBER
I
DESCRIPTION OF PROBLEM:
I
REQUESTED SERVICE:
I
SHIP TO ADDRESS:
I
SHIP VIA:
I
Providing the information below will reduce the turnaround time on your Test
Equipment Service.
MOTOROLA CUSTOMER NUMBER
BILL TAG
SHIP TAG
4-49
INTERNAL MOTOROLA ACCOUNT NO.
I
SIGNED:
_