ENMET MX-2100 - Manual (Page 26)

Repair Return Form
Mailing Address:
ENMET Corporation
PO Box 979
Ann Arbor, Michigan 48106
Phone Number: 734.761.1270
FAX Number: 734.761.3220
Shipping Address:
ENMET Corporation
Attn: Repair Department
680 Fairfield Court
Ann Arbor, Michigan 48108
Your Mailing Address:
Your Shipping Address:
Contact Name: __________________________ Your Phone: _______________________
Your PO/Reference Number: _______________ Your FAX: _______________________
Payment Terms:
❑
COD
(Check one)
❑
VISA / MasterCard______________________ ________ ________
Card number Expiration Card Code
❑
American Express______________________ ________ ________
Card number Expiration Card Code
Name as it appears on the credit card___________________________________
Return Shipping Method:
❑
UPS:
❑
Ground
❑
3 Day Select
❑
Next Day Air
❑
ND Air Saver
❑
2-Day Air
❑
UPS Account number: ________________________
❑
Federal Express:
❑
Ground
❑
Express Saver
❑
P-1
❑
Standard
❑
2-Day Air
❑
FedEx Account number: ________________________
Would you like ENMET to insure the return shipment?
❑
No
❑
Yes Insurance Amount: $_________________