Repair Request for ACE Store - CipherLab 8200

Model of Defective Unit: CipherLab 8200

Serial Number of Defective Unit:

Description of Problem:

ITEMS COMING IN FOR REPAIR
Please check off what is being sent in

01 8200 TERMINAL

01 cradle, 01 power supply and 01 communications cable

Does the retailer have a service agreement?:
(If NO Service Agreement, please inform the Retailer they will be billed up to $180.00)

NOTE: ACE software loaded in and set up before shipping back repair terminal

Store Number:

Store Name:

Shipping Information

Contact Name:	Address:

City:	State: Zip:
Retailer E-Mail:	Retailer Ship to Phone Number:
Store Time Zone:	Incident Number:
Analyst Name:	Analyst Phone:
Analyst E-mail: @acehardware.com	Shipping Method:
Additional Information: