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Step 1: Print and Fill out the form

Step 2: Fax to 1-215-517-8747

Step 3: Place a copy in the box

Step 4: Send to the address below

(This is our Return Process – No RMA Number is Required)

 

CALIBRATION & REPAIR REQUEST FORM

Date: ___________________

From: (Complete name and address)

Contact name: _______________________________________________________________________________________

Company name: ______________________________________________________________________________________

Street Address: _______________________________________________________________________________________

City: ___________________________________State: _________________ Zip/Postal code: ________________________

Country: _________________________

Telephone: _____________________ FAX No. ____________________ E-Mail:____________________________________

If a different Company Name should appear on the Calibration Certificate, please enter the new Company Name and Address in the “Comments” section below.

 

Payment Information:

Credit Card: MasterCard / Visa / Amex / Discover`

Credit Card #______________________________________ Exp. _______ 3-digit Code_______

Billing Zip/Postal Code for Card________________

PO # ____________________________________

 

If you would like SLC to call you with a cost estimate before beginning repairs, please check here: [   ]

NOTE: An Evaluation Fee of $75.00 will be charged if a repair or calibration is declined.

 

List the items and serial numbers being returned:

1. Description:____________________   Model Number:_______________________  Serial Number:___________________

Service Requested :

Repair: ___    Calibration: ___    Repair & Cal.: ___    72 hour Cal*.: ___    None: ___

If repair, describe problem:_______________________________________________________________________________

____________________________________________________________________________________________________

 

2. Description:____________________   Model Number:_______________________  Serial Number:___________________

Service Requested :

Repair: ___    Calibration: ___    Repair & Cal.: ___    72 hour Cal*.: ___    None: ___

If repair, describe problem: ______________________________________________________________________________

____________________________________________________________________________________________________

 

3. Description:____________________   Model Number:_______________________  Serial Number:___________________

Service Requested :

Repair: ___    Calibration: ___    Repair & Cal.: ___    72 hour Cal*.: ___    None: ___

If repair, describe problem: ______________________________________________________________________________

____________________________________________________________________________________________________

* 72 hour Cal carries a 50% upcharge. (Not available for model 501)

 

Return Shipping Instruction:

Via: UPS: [   ]    FedEx: [   ]    Other: [   ] _______________________

Service: Overnight [   ]   2nd Day [   ]   Ground [   ]    Date required: ____________________

Account #:____________________________________________

Ship to address: (Complete name and address)       Check if same as above [   ]

Name: ______________________________________________________________________________________________

Company: ___________________________________________________________________________________________

Street Address: _______________________________________________________________________________________

City: ________________________________State: ____________________ Zip/Postal code: ________________________

Country: _________________________

Telephone: ______________________ FAX No. ___________________ E-Mail:___________________________________

COMMENTS: ________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

 

 

Ship prepaid via UPS or FedEx, fully insured to:

 

Solar Light Company, Inc.

100 East Glenside Avenue,

Glenside, PA. 19038 USA
Tel: 1 215 517-8700

Fax: 1 215 517-8747

E-mail: info@solarlight.com

 

Attn: Calibrations laboratory or

Attn: Repair Service (if both Calibration & Repair Services are required for your instrument) or

Attn: Calibrations Laboratory – 72 HOUR EXPEDITED*

 

Note: For International shipments, please use ICH code #  9801100000 for our instruments and mark clearly “USA GOODS: Customs Duty Free Tariff Number 9801 10 0000, being sent to manufacturer forrepair and/or calibration.” Please contact your customs broker and advise us if you have another ICH code # for us to use for the return shipment.