I am the original (first) owner of this equipment being serviced. Yes ____ No _____
Customer’s Signature: _____________________________________ Date: _____________
The customer must provide proof of original ownership (receipts, etc.) before any “in Warranty” service can be performed.
Service Center: Be sure this form is completely filled out, signed by the customer and returned to Zeagle for credit on warranty parts.
39
14.0
Order Form (sample)
This is a copy of the Service Parts Request Form. The actual form is a three-page carbon copy
that is available by request from Zeagle Customer Service. If you do not have any forms on
hand, you may photocopy this page and use it to receive warranty parts credit.
37150 Chancey Rd.
Zephyrhills, FL 33541
(813) 782-5568
Fax (813) 782-5569
www.zeagle.com
Service Order / Parts Request Form
This form must be used by the Service Center
for ANY Warranty Servicing
You MUST contact Zeagle for an RA
Number to receive any Warranty Credit
Zeagle Service Center:
City, State (Prov), Country:
Phone / E-mail:
Date Serviced: Technician Name (PRINT):
Technician Number:
Customer Name:
Address:
City, State (Prov), Country:
Phone / E-mail:
RA # (call Zeagle): __________________
1st Stage Model: _____________________ Serial #: ____________________
2nd Stage Model: _____________________ Serial #: ____________________
Octopus Model: ______________________ Serial #: ____________________
Comments:
Part # Installed
Description of Part
Warranty Item? Y/N
Customer Price
345-1000
First Stage Service Kit
345-2000
Second Stage Service Kit
345-7000
Octo-Z bi-annual Service Kit
Note: If a body or housing is replaced, note the new serial # in “Description of Part”
Total:
