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Techumseh Compressor Warranty Form
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Please send completed form with compressor, thank you.
 
Return Wholesaler
Extended Waranty
(If checked, attached copy of your Bill of Sale & provide No.)
INOPERATIVE COMPRESSOR / UNIT
Model No.
B/M
Serial No.
Mfg. Date
Installation Date
Date Failed
EQUIPMENT / APPLICATION
Name of Equipment Mfgr.
Application
Manufacurers Unit Model No.
Serial No .
Date of Original Equipment Installation
Type of Refrigerant
How many compressors have failed on this equipment?
CAUSE OF FAILURE (CHECK ONE OR MORE)
Noise
No Start
Voltage
____________________________________________________________________________
Leak
Air Conditioning
Other
Refrigerantion
Other:
Equipment
Air Conditioning.
Refrigeration.
Other.
____________________________________________________________________________
Low Capacity (Describe symptoms)
Other (Please Describe)
Why was service call initiated?
Your Name
Contractor
Phone
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