ECE Lab Kit Hardware Support: Lab Kit Warranty Exchange Form

For ANDY Board, Veleman scope, Digilent scope, MY-64 meter (other parts do not need a form)

ECE Course No ____________________________ (i.e. 2054, 2074, 3074, 3254)

Student Name (First & Last, legibly printed!) ____________________________________

Student Signature ________________________________________________

Student Hokie ID Number ________________________________________________

Student email _______________________________________

Date of exchange ________________________________________________

GTA Making the exchange ________________________________________________

Loaned Item ________________________________________________

Replacement Serial Number Issued to student (scopes only)____________________________

Original Serial Number Returned by student (scopes only)___________________________