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Address
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Province/State
Postal Code/Zip Code
Phone
Fax
Email Address
Battery Pack Design and Specifications
Battery Pack Part #
Battery Manufacturer
Original equipment battery part #
Battery Chemistry
Battery Pack Dimensions
Length
cm
Width
cm
Height
cm
Battery Pack Voltage
Battery Pack Capacity
Quantity of cells in pack
Model # of cells
Manufacturer of cells
Dimensions of individual cells
length
cm
width
cm
height
cm
Connector type
Packaging Type
Shrink
Hard Plastic Case
Quantity
Date Required
Device Manufacturer
Type of Electronic Equipment (Video Recorder, Toothbrush, computer...)
Device Model Number
Other Notes
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