O2 Innovations pmn manual Repair Return Form

Repair Return Form

Mailing Address:		Shipping Address:
ENMET Corporation		ENMET Corporation
PO Box 979		Attn: Repair Department
Ann Arbor, Michigan 48106		680 Fairfield Court
		Ann Arbor, Michigan 48108
Phone Number:	734.761.1270
FAX Number:	734.761.3220
Your Mailing Address:		Your Shipping Address:

Contact Name: __________________________			Your Phone:	_______________________
Your Reference Number: _________________			Your FAX:	_______________________
Payment Terms:	COD
(check one)	VISA / MasterCard______________________				________
		Card number			Expiration
Return Shipping Method:
UPS: Ground		3 Day Select Next Day Air ND Air Saver			2-Day Air
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: $_________________