Repair Return Form
Mailing Address:
ENMET
PO Box 979
Ann Arbor, Michigan 48106
Phone Number:
734.761.1270
FAX Number:
734.761.3220
Shipping Address:
ENMET
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:
K
COD
(Check one)
K
VISA / MasterCard______________________
________
________
Card number
Expiration
Card Code
K
American Express______________________
________
________
Card number
Expiration
Card Code
Name as it appears on the credit card___________________________________
Return Shipping Method:
K
UPS:
K
Ground
K
3 Day Select
K
Next Day Air
K
ND Air Saver
K
2-Day Air
K
UPS Account number: ________________________
K
Federal Express:
K
Ground
K
Express Saver
K
P-1
K
Standard
K
2-Day Air
K
FedEx Account number: ________________________
Would you like ENMET to insure the return shipment?
K
No
K
Yes
Insurance Amount: $_________________
