BoardTronics Return Authorization Form

National Service Center

Return Authorization Form (fill in completely and fax to 1-800-326-5045)
Ship components to: 12260 Shale Ridge Road #2 Auburn, CA 95602

Golf Course:________________________	Date:______________________________
Contact:___________________________	Title:______________________________
Telephone:_________________________	Facsimile:___________________________
Brand of Equipment:__________________	Model:_____________________________

IRRIGATION SALES REPRESENTATIVE:

Quantity Description of Components (Timing Mechanism, Modem, etc..)

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Please Specify The Method For Outbound Shipment That You Would Prefer: (Check One)

Ground

2nd Day Air

Next Day Air

Would You Like To Insure The Outbound Shipment: (Check One)

YES NO

P.O.#_____________________________
Bill To:	Ship To:
__________________________________	__________________________________
__________________________________	__________________________________
__________________________________	__________________________________
Attn:______________________________	Attn:______________________________

BoardTronics