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Preventive Maintenance Special for TEC B-472/B-572 

 


Please make sure you have the printer's serial number before you begin filling
out this form.

Once you submit the form, our service department will contact you to
arrange payment.
* required fields

Please provide the following contact information:
Your Order Number: R3Hit Counter
Retype Your Order # Here R3
*First name
*Last name
Title
*Organization
*Street address
Address (cont.)
*City
*State/Province
*Zip/Postal code
*  Country
* Work Phone
*  FAX
* E-mail will receive updates
* Enter the printer model:
*  Printer Serial Number: Required to identify printer
Service Requested
(check only one)		 PM-B-472-572 Preventive Maintenance $499.00
 PMD-B-472-572 DELUXE Preventive Maintenance $549.00
 
*Contact Name for
Payment Arrangements
*Contact Phone# for
Payment Arrangements
 
Please fill in shipping information so that we can ship your printer to you when it is finished.
Same as above
Ship to Company
Attention:
Street Address
City
State
Zipcode
Enter any additional Information:


 


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2629 Valley Pike, Dayton, OH 45404    PH: 1-800-228-3606 or 1-937-237-2001  Fax: 1-937-237-1595
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