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Quiz Machine Repair Order
For any immediate inquiries please email machine@njcl.org
ONE REPAIR ORDER PER MACHINE
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Contact Information
Name
*
Your answer
Email Address
*
Your answer
Describe the Problem
Quick Select Issues
*
Button Switch (Say How Many/Color(s) in Summary)
Erratic Behavior of Electronics
No Power
Incorrect Button Assignment
Cosmetic/Physical Damage
Water Damage (Please Specify Liquid Type in Summary)
Other:
Required
Summary of Issue (Symptoms)
*
Your answer
Priority
*
Very Low
1
2
3
4
5
Very High
Date Needed By
MM
/
DD
/
YYYY
If Needed ASAP, Please Explain
Your answer
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