www.suntrac.com (fill out this form and return with meter)

Date:

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SUNTRAC SERVICES, INC

INTERNATIONAL Return Goods Form

(THIS FORM SHOULD BE FILLED OUT AND SENT WITH YOUR SHIPMENT)

 

 

Instrument(s) returned for:  Calibration     Efficiency     Repair     Other

 

 

Bill to address:

Company:

Contact:

E-mail:

Address:

Phone/Fax Number:

 

Return Shipment VIA: FedEx  UPS  DHL

Check Source Included: Yes   No

Ship to address: Same as Bill To

Company:

Contact/Technician:

E-mail:

Address:

Phone / Fax Number:

 

 

Shipping Account#

 

Instrument Model

Serial Number

Probe Model

Serial Number

1:

2:

3:

4:

 

Malfunction Symptoms, Special Instructions, etc. (reference item listed from above; ex. 1,2,3,4)

 

Please check the appropriate billing option:

Charge Credit Card

 

Purchase Order

Call for Payment

E-Mail

Visa  MasterCard  Amex

 

PO#:

Card #:

 

Contact:

Exp.:

CCV:

 

Phone/Fax:

Name On Card:

 

E-mail:

SHIPMENT MUST BE DELIVERED TO OUR DOOR IN LEAGUE CITY, TEXAS WITH ALL DUTIES AND TAXES PREPAID.

 

1818 EAST MAIN STREET
(281)338-2133

Email: sadie@suntrac.com

LEAGUE CITY, TX 77573
FAX: (281)338-2136