? Industrial Electronics Repair Service Form IER
Please copy and/or print the following form using your browser.
Fill in the information, and enclose this form with your items for repair.
Company: __ NTA Graphics__________________________________
Your Name: ___ Greg Klausing__________________________________
Department: ___ Management_________________________________
Address: _ 501 Republic Circle________________________________
City/State/Zip: Birmingham, Alabama 35214_______________________________
Phone & Fax: Phone 205-798-2123 & FAX 205-798-2867________________________
Model Number: __Parker CTC P15-444DR-3 _Backlight Model number BLR-6100 ___________________________
Serial Number: _LC-00574-102____________________________
Description: Parker CTC touch screen monitor operating commercial printing ovens._______________________________
Problem: Screen is not operational and swopped out with working backlight screen. With swopped out screen unit remains inoperable. ________________________________________
Please attach any schematics, hook-up diagrams, or manuals you may have.
Also, units that use custom software please include a copy of the software if possible. This unit does require custom software which is in an operational unit and no copies are available therefore software cannot be included. None of the other requested items are available.
The more information you provide us, the faster and cheaper we will be able to repair your unit. Please feel free to call with any questions you may have and we will do our best to supply you with answers.
For faster turn around.
Repair Approval Amount: Unknown_______________
Approval Signature _____________________________
Industrial Electronic Repair Inc.
attn: Marty A. Lineberry
8065 North Point Blvd Suite A
Winston-Salem NC 27106
Phone: (336) 896-1900
Cell: (336) 969-0110
Credit Application Form: Free Estimate