Delphi Diagnostics SV10546EX Order Form

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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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