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 Purchase order / Job number:

Name / Company:
Contact person:
Phone Number:
Phone type:
Model number:
Lightly tapping or shaking the unit has the following effect:
Unknown   No Effect  Problem goes away temporarily  Problem is aggravated
What is the frequency of the problem?
     Talk path problems
Bad transmit from handset
Bad receive in handset
Bad transmit from speakerphone (Mic)
Bad receive in speakerphone
     Button problems
Buttons sticking down (describe below)
Button not working (describe below)
Buttons activating by themselves (describe below)
     Display / Light problems
LCD not working
Lines missing in LCD
Lights lighting up when they should not
Some lights do not work (describe below)
   Answering / Ringing problems
Disconnects or hangs up when it should not
Will not hang up or stays off-hook
Can not answer ringing calls
Phone does not ring
Describe the problem in detail: (notes)

                        

 

 

 

 

 

 

 
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