| Service Center/Dealer Info |
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| 90/00 Acct#: * |
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| Dealer/Servicer Name: |
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| Phone: |
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| Zip: |
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Spa Serial Number:
If unknown please put 0000000 |
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Date Problem Reported: * |
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| Repair Date: * |
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| Authorization #: |
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| Time Begin: |
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| Time End: |
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| Problem Reported: * |
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| Warranty Repair Performed: |
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| Tech: |
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| No Parts to Return: |
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| Labor: |
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| Travel: |
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| Email Copy to Customer: |
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Dealer Resources