RCER SERVICE REQUEST FORM
Southern California's Expert RC Engine Repair
SHIP TO:
1828 W 11th St., Suite H
Upland, CA 91786 USA
Customer Information
NAME
*
ADDRESS
*
CITY, STATE, ZIP
*
PHONE
*
Format: (000) 000-0000.
DATE
*
-
Month
-
Day
Year
Date
EMAIL
*
example@example.com
Turbine Information
MODEL
*
E-86
E-100
E-130
E-170
SERIAL #
*
Purchase Date
*
-
Month
-
Day
Year
Date
ECU TIME
*
BATTERY TYPE
*
BATTERY CAPACITY
*
OIL BRAND
*
% OIL ADDED
*
FUEL USED
*
Jet A1
Kero
Diesel
CONDITION
*
New
Used
Problem Description
*
Components in the Box
*
Engine
GSU
Valves
Wires
ECU / DRM
Pump
ECU Cable
Submit
Should be Empty: