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8.D.b I <br /> Field Service Information <br /> District Service Manager <br /> Service Area <br /> Office Address <br /> au <br /> Telephone Number c <br /> a- <br /> FAX Number <br /> 0 <br /> Installation Technician o <br /> a) <br /> N <br /> Primary Technician as <br /> z <br /> Back-up Technician <br /> a <br /> Salesperson Phone: <br /> N <br /> ti <br /> Sales Order Number: Is this a trial <br /> ❑ c <br /> If a Trial how long (weeks/months) a' <br /> Contract Approved <br /> ❑ a' <br /> Id) <br /> Delivery Information <br /> E <br /> Carrier: o <br /> N <br /> Anticipated Delivery Date: <br /> au <br /> Target Installation Date at Site: co <br /> Target Installation Date On-line: <br /> Site Survey-Acceptance Signatures a. <br /> lC <br /> Customer Date <br /> N <br /> a1 <br /> CSA Date c) <br /> U) <br /> Service Manager Date a) <br /> Please return completed form to your Branch Administrator <br /> Notify your Region Administrator and Bus Ops if any changes occur prior to installation date. c <br /> C, <br /> Return to: w <br /> Canon Solutions America <br /> Attn: Business Operations <br /> 425 N. Martingale Rd., Schaumburg, Illinois 60173 <br /> LFS_Orders@csa.canon.com <br /> SASG_Orders@csa.canon.com <br /> 9S <br /> U <br /> r <br /> d <br /> E <br /> .c <br /> a: <br /> I Packet Pg. 100 I <br />