Repair return form – ENMET MedAir 2000 User Manual
Page 29
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: T COD
(Check one)
T
VISA / MasterCard______________________
________
Card number
Expiration
Return Shipping Method:
T
UPS/RPS Surface: T 3 day
T
2nd Day Air
T
Next Day Air
T
Federal Express:
T
Next Day Morning T Next Day AfternoonT Standard
T
FedEx Account number: ________________________
Would you like ENMET to insure the return shipment?
T
No
T
Yes Insurance Amount: $_________________