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

Date:

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SUNTRAC SERVICES, INC

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:

City:

State:    Zip:



Check Source Included: Yes   No

Ship to address: Same as Bill To

Business   Residential

Company:

Contact/Technician:

E-mail:

Address:

City:

State:    Zip:

Phone / Fax Number:

 

 

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:

 

E-mail:


SHIPPING INFORMATION: All packages will be shipped back UPS ground service unless otherwise specified.  We cannot ship to Post Office Boxes, street addresses ONLY.  Shipping charges will vary quantity, as to item(s), weight, size and destination.

 

1818 EAST MAIN STREET
(281)338-2133

Email: sadie@suntrac.com

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