Enmet MEDAIR 2200 User Manual download pdf (Page 40)

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: K COD

(Check one) K VISA / MasterCard______________________ ________ ________

Card number Expiration Card Code

K American Express______________________ ________ ________

Card number Expiration Card Code

Name as it appears on the credit card___________________________________

Return Shipping Method:

K UPS: K Ground K 3 Day Select K Next Day Air K ND Air Saver K 2-Day Air

K UPS Account number: ________________________

K Federal Express: K Ground K Express Saver K P-1 K Standard K 2-Day Air

K FedEx Account number: ________________________

Would you like ENMET to insure the return shipment?

K No K Yes Insurance Amount: $_________________

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Enmet MEDAIR 2200 User Manual Page 40