POWER TECHNOLOGY

Power Technology Components Ltd. 295 Lincoln Road, Waitakere City, Auckland
P O Box 104 009, Auckland 0654, New Zealand

Phone 64-9 836 6744 / Fax 64-9 836 6755
E- mail hamish.littin@powertech.co.nz

SERVICE REQUEST FORM

Date:

Company:

Contact Name:

Phone:

Client
-If applicable-

UPS Equipment:

BK300MI BK500MI BK650MI BP1000 BP1400I BP280SI BP420SI BP650SI LR1250I LR600I SU420INET SU620INET SU700INET SU1000INET SU140OINET SU2200INET SU3000INET SU1000RMINET SU1400RMINET SU2200RMINET SU3000RMINET SU700XL SU1000XL SU1400XL SU2200XL Other

Other? Please Specify:

Serial Number:

Fault Description:

CONTACT DETAILS
New Customers Only To Complete –

Postal Address:

Street Address:

City:

Fax:

E-mail:

Please submit this form for confirmation of Service Request/RMA Number.

How do you wish to be contacted?

Phone E-mail Fax