ENMET MED AIR 2000, Operation And Maintenance Manual, Page: 29 / 30

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:
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COD
(Check one)
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VISA / MasterCard ______________________ ________
Card number Expiration
Return Shipping Method:
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UPS/RPS Surface:
T
3 day
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2nd Day Air
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Next Day Air
T
Federal Express:
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Next Day Morning
T
Next Day Afternoon
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Standard
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FedEx Account number: ________________________
Would you like ENMET to insure the return shipment?
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No
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Yes Insurance Amount: $_________________