Delphi Diagnostics SV10546EX Order Form

Report
DELPHI SV10546EX SERVICE
EXCHANGE OFFER
Expires 31st December 2014
Fax back Order form and Return Authorisation request
Please order the following DS150E Hardware Kit
SV10546EX
STAGE 1
DISTRIBUTOR NAME
ACCOUNT NUMBER
CONTACT NAME
CONTACT PHONE NUMBER
CONTACT FAX NUMBER
**required
PURCHASE ORDER NUMBER
DATE
STAGE 2
WORKSHOP / USER NAME
ORIGINAL VCI SERIAL No. (5 digit code)
or COMPETITOR MAKE / MODEL / SERIAL No.
RETURNS AUTHORISATION NUMBER
**Completed by Delphi
DATE
**Completed by Delphi
STAGE 3
Important: Software License management
PLEASE TICK
EXISITING SOFTWARE LICENSE FOR ABOVE VCI IS STILL VALID
I will contact Delphi to transfer the license once new VCI has been received.
PLEASE CALL CUSTOMER SERVICES WITH NEW VCI NUMBER-DO NOT SEND A LICENSE ORDER FORM
EXISITING SOFTWARE LICENSE FOR ABOVE VCI HAS EXPIRED
I will order a new software license once new VCI has been received.
NORMAL LICENSE ORDER FORM MUST BE USED
Fax-back to Delphi customer services on 01926 472999
Delphi will complete the returns authorisation number below and fax back:
*** A copy of this form MUST accompany the exchange equipment ***
Please return exchange equipment within 30 days of receipt of new Delphi VCI
and the new VCI number must be entered below
Return Address: Delphi Warranty Department, Spartan Close, Warwick CV34 6AG
NEW VCI NUMBER (six digit)

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