You are on page 1of 1

:: F;~ E·; Cl : \ l....: 11 c.~) ,'.1.. ./ C) L, l:\ ~~'. ,:) ,/ (.) >:.: 'T' . ". ,:'::'i. cl :i.

39; . ". ,:'::'i. cl :i. r'j ~J ~::.


.;'::1..

I"I(',~SUD r EiCDUI\i-" :::HEi --.........::


Ra:l. se d CH',:
"i 'L \. .,.:: Li·::;

Site details:

Customer details:

r :::':. :'

Item details~
B.:::,. r co de :: qt.y:
F: L.. L.. [... /C.i ;(:'.~ r:' ,...., :.~::: .,' ') () () I.}.)
F.:~ t J:3 r~ C~ '-(' L~: L.. iJ ~\I I C: \) {::i C~ C; 1.... t::: (:, r·,i i:::: F~~ ~J. , ::{ ). ,f..,C}
Serial/IMEI Code~
........................................ ..
Date of purchase~ ,. F·al...ll t. df!!.lt.a. i l~:~:
~

Proof of purchase: :~~~!: {:i L. L. 1)

...... 1:.:· .... ·


; L.,·....'
~~::I.

Undf!!.H' gU<i:\r ..::\rl'l':,(~f.i:':


'lE':::)

Quote before repair: 3

+----------_._-------------------
*** THIS IU NOT"A DESPATCH DOCUMENT ***
Loan item details:

\1 et r:·~ C} >< L.,i ~~:; [' I) I· · .' C) F' (::'1 F? T' ::::) \. . .! /; :L ::3 :.7 t:: C) I~ ~:::)./ () r::~;: ::3 i..j. ': l.,.l,J :r 'T' I···! ::::~ L.. T :D 1:::: t·. .l (::': F~: 1<' ~::::: ..... ~:::. C': F~ ,:\ ;", .1 ~:: ..
l"ITTI.. 1 c:ur. !f)····:.:!:'}!! i::<LLJ:·~

CUSTOMFR Pt F~SE NOTE:


C:,:"', ! '1.. ,:.::';'" . "":,) ......:.: ':'.::: '.:::

T' ....
,'.. i ! (J . ;::

The customer will be liable for any costs incurred to obtain


a quote that is subsequently rejected.

You might also like