Equipment Repair Form - Hamdon printable pdf download

Equipment Repair Form - Hamdon

EQUIPMENT REPAIR FORM

PLEASE FILL OUT THE FOLLOWING INFORMATION WHEN SHIPPING EQUIPMENT FOR REPAIR

SHIPPING RETURN ADDRESS:

BILLING ADDRESS (same as Shipping): Y / N

COMPANY: __________________________________________________________________________

LOCATION: __________________________________________________________________________

ADDRESS: ___________________________________________________________________________

CITY/PROV: __________________________________________________________________________

POSTAL CODE: _______________________________________________________________________

CONTACT: _______________________________ PHONE NO.: ______________________ FAX: _____________________

CALL FOR ESTIMATE: Y / N

only if repairs exceed __________________________

PO #: ___________________________________ Authorization Code / Signature: _______________________________

EQUIPMENT AND/OR ACCESSORIES:

DESCRIPTION

SERIAL #

___________________________________________

_____________

___________________________________________

_____________

___________________________________________

_____________

___________________________________________

_____________

DESCRIPTION OF PROBLEMS

__________________________________________________________________

Return repaired equipment via:

Courier: ________________________

Acct #: ____________________

HAMDON WELLSITE SOLUTIONS

9415 – 27

AVE NW

EDMONTON, AB, CANADA

T6N 1C9

Equipment Repair Form - Hamdon