Diagnostic form :
Well Gain Electronics Repair Service
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
E-mail
Manufacturer
Part Number
1.The problem is:
Not powering up
Powers up but no function
Powers up but no output
Intermittent
Out Range
Error or Warning
Burned (Smells)
Smoke
Unusual Noises
Losing Control
Display Dim
Display Missing
Other:
Please describe
2. Has this product been serviced or repaired by another company?
No
Not sure
Yes (Please provide us with a detailed description when, where, and why?)
Please explain
Warranty Status
New Repair
Out of warranty
Warranty
Invoice Number
Other Questions, Comments or Concerns?
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of
Phone Number
-
Area Code
Phone Number
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