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)