Packaging Incorporated Tool Repair Request Form

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Tool Repair Request Form 
 
Please complete form and send tool to: 
321 8th Street, Suite B Bettendorf, IA  52722 
Phone:  (563) 278‐5024 
Email:  servicedept@packagingincorporated.com 
 
Please complete a separate form for each tool that you send in for repair. 
 
Date:  ___________________ 
Contact Name:______________________________________________ 
Company Name:_____________________________________________ 
Address:  __________________________________________________ 
__________________________________________________________ 
__________________________________________________________ 
__________________________________________________________ 
Phone:  __________________ 
PO #:  ___________________ 
Tool Description or Part #:  ____________________________________ 
Serial Number:  _____________________________________________ 
Problem with tool (please describe issue):  
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________ 
Items included with your tool.  Check all that apply: 
 
 
  Battery   
  Case   
  Fuel Cell   
  _________________

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