Contact Name: |
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| Company Name: | ______________________________________________________ |
| Telephone: | _________________________ Fax: ________________________ |
| Email Address: | ______________________________________________________ |
| Billing Address: | Shipping Address: | ||
| ____________________________________________ | ____________________________________________ | ||
| ____________________________________________ | ____________________________________________ | ||
| ____________________________________________ | ____________________________________________ | ||
| ____________________________________________ | ____________________________________________ | ||
| Reason for return: | ____ Repair | ____ Re-certification | Other ________________________________ |
| Instrument Model: | ______________________ | Serial Number (S/N): | _______________________ |
Detailed Symptoms or problems you are experiencing (Very Important):
| ____________________________________________________________________________________________ |
| ____________________________________________________________________________________________ |
| ____________________________________________________________________________________________ |
| ____________________________________________________________________________________________ |
Calibration and repair work is performed at our manufacturing location. Our address is:
DeFelsko Corporation
Attn: Service Department
802 Proctor Avenue
Ogdensburg, NY 13669 USA
Important note to our International Customers (Outside USA):
Include a Commercial Invoice showing the description of the instruments, and Value for Customs Purposes Only. Include the following statement:
"U.S. Goods Returned For Repair/Calibration. Country of Origin: USA"
NOTE: Failure to include this statement in your invoice will result in U.S. Customs assessing duties on the shipment, which we will in turn pass on to the customer/shipper.