Equipment Repair Form
To: Total Electronics - Attn: Robert Smith 3639 Kerwin Dr - Memphis, TN 38128 Tel 901-372-6354
Date:
Machine Type: Serial Deduct Device Cash To Card - Card Reader Cash To Card - Bill Acceptor Other - Please Specify
Serial Number:
FAU Tag Number:
Reason for return:
FAU Contact: Tel: Ship to: Bill to:
Return instructions: UPS Red - Next Day Air UPS Blue - 2nd Day Air Standard Ground Shipping
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