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Rmation (all fields in this section are REQUIRED to be filled in for Warranty to be considered) Model Number MFG. No. Purchased From (Distributor): PO or Invoice # Purchase Date Start-Up Date Failure Date 3. Failure Details Failure Occurred At power-up At const. speed During acceleration During deceleration Hours of operation at the time of failure Detailed Description of Failure Visible Damage Revised 6/18/07 Page 1 of 2 4. Installation Details Other Components Ins.

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