ENMET DC Powered Sample Module - Manual (Page 21)

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: $_________________