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Repair return form – ENMET QUADRANT User Manual

Page 25

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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:

T

COD

(Check one)

T

VISA / MasterCard______________________

________

Card number

Expiration

Return Shipping Method:

T

UPS: T Ground

T

3 Day Select T Next Day Air T ND Air Saver T 2-Day Air

T

Federal Express:

T

Ground T Express Saver

T

P-1 T Standard T 2-Day Air

T

FedEx Account number: ________________________

Would you like ENMET to insure the return shipment?

T

No

T

Yes

Insurance Amount: $_________________