Repair return form – ENMET DC Powered Sample Module User Manual
Page 21
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:
q COD
(check one)q VISA / MasterCard______________________
________
Card number
Expiration
Return Shipping Method:
q UPS:
q Ground
q 3 Day Select
q Next Day Air
q ND Air Saver q 2-Day Air
q Federal Express:
q Ground
q Express Saver q P-1
q Standard
q 2-Day Air
q FedEx Account number: ________________________
Would you like ENMET to insure the return shipment?
q No
q Yes
Insurance Amount: $_________________