ENMET EX-5175 - Manual (Page 19)

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: $_________________