Kipp & Zonen CSD1, Instruction Manual

Page: 39 / 41

39
NAME :
COMPANY/INSTITUTE :
ADDRESS :
CITY + POSTCODE
:
COUNTRY :
PHONE :
FAX :
E-MAIL :
†
I would like to receive a price list for recalibration
†
I would like to submit my instruments for recalibration
Type/Model: Qty: Requested delivery time
I intend to send the instruments to
Kipp & Zonen on:
. . . . . ./. . . . . ./. . . . . .
I would like to receive the instrument(s) back
on:
. . . . . ./. . . . . ./. . . . . .
Conformation by Kipp & Zonen
□
Yes, the dates are acceptable to us
□
No, unfortunately the dates do not fit into our calibration schedule.
We suggest the following dates:
. . . . . ./. . . . . ./. . . . . .
. . . . . ./. . . . . ./. . . . . .
Fax +31-15-262-0351
or mail to:
Kipp & Zonen,
P.O. Box 507, 2600AM Delft, The Netherlands
RECALIBRATION FORM