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Repair return form – ENMET ENG – 97D STAND-ALONE User Manual

Page 12

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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

Return Shipping Method:

UPS/RPS Surface:

3 day

2nd Day Air

Next Day Air

Federal Express:

Next Day Morning

Next Day Afternoon

Standard

FedEx Account number: ________________________

Would you like ENMET to insure the return shipment?

No

Yes Insurance Amount: $_________________