Dolgin Engineering
Service Request Form
Please send this form with your equipment

Company Name

Contact Person
Address

Tel. day

Tel. evening

Tel. cell

E-Mail

Product

TC200 XX
TC40 XX
TC400 XX
Other

Please tell us about the problem you are having
Is the product under warranty? (We warranty most of our products for 2 years) No
Yes
Please remember to include the following documents with your request:
Copies of Original Proof of Purchases to verify warranty.

Comments:

Shipping and Receiving
Dolgin Engineering
405 Waltham Street
Lexington, MA 02421-7953

Tel. 781 863-1813