Request Form To Re-Flash Power Wizard Modules

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FG Wilson (Engineering) Ltd

Technical Support Centre


1 Millennium Way,
Springvale Business Park, Request to Re-flash
Springfield Road,
BT12 7AL Power Wizard Control Modules
Tel: +44 (0) 28 9049 5492
Fax +44 (0) 28 2826 1111
Please send this completed form with your Control Panel to the above address - Thank you
Please state on any customs paperwork that unit is returned for repair and not import.
Company and Contact Name of end customer Contact numbers for end customer
Ph.
Fax.
E-mail.

Full shipping return address Customer Order Number

Date

Control Panel Type (please tick () appropriate box)

Power Wizard 1.0 Power Wizard 2.0


Language Required -

Special Instructions

Ordered By (print name) Signed

Programming Requirements (NB: A Separate Order Form must be used for each Control Panel Re-flash
Generating Set Serial Number to which module is Control Panel
FGW Sales Order Number No. Off
Re-flashed Washed Date

1 Only

Programmer’s Office Use Only

Date order received SAP ref number Date released from stores
Commercial Operations 1

Programmer’s Details

Programmed Fault, ECM returned


Programmed by

Signed Date

FGWSPFORM1 – Issue 01
June 05 Reviewed D Steinberg, 08/06/05
FGW CONFIDENTIAL GREEN

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