User Manual

Appendices
Version 4 A-56 4/2/04
Report 1 – Extend-A-Page Malfunction Report
RMA No. __________ Date Rec’d: ________________
Model No. _________ Serial No. _______________ Date Returned: _____________
1. Describe Malfunction: __________________________________________________
______________________________________________________________________
______________________________________________________________________
2. Total Number of Operating Hours: ________________________________________
3. Describe the environmental conditions (shock, vibration, high/low ambient
temperatures) other than normal handling to which equipment has been subjected:
_____________________________________________________________________
______________________________________________________________________
4. Conditions (if known) prior to failure: ______________________________________
______________________________________________________________________
5. List any other system elements, which malfunctioned, prior to or simultaneously with
product failure: _________________________________________________________
______________________________________________________________________
______________________________________________________________________
6. Describe previous servicing of unit: _______________________________________
______________________________________________________________________
______________________________________________________________________
7. Other comments: _____________________________________________________
______________________________________________________________________
This report must be completed and accompany all units returned to Customer Service,
Eagle Wireless International, Inc. for action under any warranty clause.
Signed: ___________________________ Position: ____________________________
Company: _________________________ Address: ____________________________
City: _____________________________ State: _________________ Zip: __________