Beacon/Strobe Upgrade Program
Beacon/Strobe Upgrade Program
Beacon/Strobe Upgrade Program
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®Code Blue<strong>Beacon</strong>/<strong>Strobe</strong> <strong>Upgrade</strong>Order <strong>Program</strong>IMPORTANT: All fields depicted in red MUST be completed in order for Code Blue to process the RMA requestCode Blue Phone 616.392.8296 or Fax 616.392.8391Purchase Order Number (REQUIRED for advance replacement & shipping charges) ____________________________Type of Return _______________________________________________________BEACON/STROBE UPGRADE PROGRAMDate _____________(mm/dd/yy)BILL TOSHIP TOCompany ________________________________________________Address 1 ________________________________________________Address 2 ________________________________________________City _____________________________________________________State ________ Zip _____________ Country _________________Contact Name _____________________________________________Company ________________________________________________Address 1 ________________________________________________Address 2 ________________________________________________City _____________________________________________________State ________ Zip _____________ Country _________________Contact Name _____________________________________________Phone ______________________ Fax ________________________Phone ______________________Fax ________________________Email ____________________________________________________Email ____________________________________________________END USER INFORMATIONName ___________________________________________________Contact __________________________________________________Address 1 ________________________________________________Address 2 ________________________________________________City _____________________________________________________NOTES: <strong>Program</strong> in effect March 17, 2008through May 16, 2008.All returns MUST be received atCode Blue by May 30, 2008 toreceive credit.State ___________Zip ___________________Phone __________________________________Email ____________________________________________________ORDERINGPart # Qty. List Price TotalS-550 LED combo strobe, 12-24v AC or DC ...........................................................................11499 ____ $365 ______EXPECT TO RETURNPart #Florescent beacon/strobe combo ............................................................................................10700Qty.____Authorized SignatureFax or Mail to Code BlueSignatureDateCode Blue • 92 East 64 th Street • Holland, MI 49423 • 800.205.7186 or 616.392.8296 • Fax 616.392.8391 • www.codeblue.com 2-2008
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