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Technical Failure Formu

	Dear Customer, By filling the below form, we will give you a prompt and satisfying reply. Please you do kindly answer all of our questions shown as below.
Company Name
Name, Lastname	*
Phone	*
Fax
E-mail	*
Product Model
Product Power
Product Serial No
Failure Details

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AC/DC ELECTRONIC SYSTEMS INC.

Phone: +90 212 320 2007 Fax: +90 212 320 2009 Email : info@acdc.com.tr