Repair return form – ENMET PGD2Manual.pdf User Manual

Page 28

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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: $_________________

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