JADE ELECTRONICS     

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                                                                   TEL # 215-322-7040

 275 ANDREWS RD                                               FAX# 215-322-2891

TREVOSE PA 19053                                 jade@jadeelectronics.com

 

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WE WILL REFUSE ANY SHIPMENTS WITHOUT IT!

 

COMPANY NAME:__________________________________________

 

NAME:_____________________________________________________

 

Date Purchased

ITEM#

INVOICE#

WHAT’S WRONG WITH ITEM

Serial Number

Warranty YES/NO

REPLACE/REPAIR