Repair return form – ENMET ISA-44-RALE-OD User Manual

Page 37

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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:

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: $_________________

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