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soumission gratuite pour
l'achat ou la location
d'équipements
Motorola

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RENTAL RETOUR FORMDownload Form

Client

Date of return

Complete

yes No

Contract No.

QTY

Model

Contract No.

QTY

Modele

Portable Radio Accesories

Flexible Antenna

Ear Piece model

Head Set modele

model

Surveillance kit

Speaker / Microphone

Case

Leather

Plastic

T-straps

Swivel belt loop

Battery

Clip

Single Charger

Multi Charger

Transfo

110 v cord

Mobile Radio Accessories

Magnetic Base mount

Mobile Antenna

Metal Plate

Table Microphone

Power Suply

Mobile Microphone

External Speaker

Plastic Transportable Mount

Power Cable

Lighter Plug

Comments

Not returned

Authorized CTM verification rep.

Print Name

CTM Representant

Equipment will be inspected at our facility. All physical damage or loss will be charged to your account.

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