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