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All items marked with an asterisk (*) are required fields. Please provide return option in case RMA is required:
Return:	Yes, ship it back to me. No, do not ship it back to me.
	I need a replacement as fast as possible.
	Note: Must mark one of above selections.

Date:	5/19/2012 5:28:31 PM
Site ID:
Contact Name:
Diagnostic Technician:	Name of LDARtools Support Personnel you spoke with or Your Name if Level1 Repair Certified for your site.
Phone:
Email:
Equipment:
Equipment ID:	PHX21-** (Is Imprinted on case and orange molding); FEC (For C2 & FECrystal, both found on silver label around device; 12345 or 123456 (For Archers, found on the white label under battery in back of Archer OR within the Operating System by tapping Start, Settings, System Tab (bottom) System Config icon); SB3-* (For Orange/Black Spanbox3, found on silver label located next to gas inputs), SB2-SiteID (For Blue Spanbox, as this unit does not have an assigned number).
Issue/Malfunction:
Comment:

Note:

To report an issue for phx21™ RMA, you must attach the Log and Span files.
Please follow these instructions on how to acquire the two required phx21™ log files.