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Amana Goodman Warranty Forms
 
Type of Warranty
Date Installed *
Date of Service *
Model Number *
Serial Number
(Outdoor) Model Number
(Outdoor) Serial Number
Phone Number
Service Contractor
Address
City
State
Zip
Contractor Number
Customer Name
Address.
City.
State.
Zip.
Phone Number (with area code)
Distributor Name
Number
Project Code/ Special Authorization No.
**Componenet Cause Codes_______________________________________
Componenet
Cause
Parts and Materials______________________________________________
Failed Part No.
Replacement Part Number
Description
Description.
Qty.
Chose Credit or Replace
Compressor or Mottor
Failed Serial
New Serial
Reason For Failure
Service Performed
Exted Service Contract No.
Expiration Date
Parts Source
Parts Purchase Invoice No.
Credit Memo
PRF/Debit No.
Special Labor Allowance
Credit/Check Amount
Unit Replacement Amount
Special Labor Allowance._________________________________________
Credit/Check Amount.
Unit Replacement Amount.
Mileage/Cartage
Service Technician
Distributor/Branch
Date
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Phone: 316 263-8179 or 800 835-1010, Fax: 316 263-2040 or 800 835-1150
224 Indiana,    Wichita,  Ks   67214
8:00 AM to 5:30 PM M-F,  8:00-Noon on Saturday,  Closed on Sundays and Holidays.
Tempstar Distributor for Kansas

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