EQUIPMENT REPAIR ORDER

 

Ship-To:

Sanitary Supply Corp., Inc.                                                                                                                                                            

Service Department                                           Tel:   800.893.0488

787 22 Road                                                        Fax:  877.504.1382

Grand Junction, Co 81505                              Email: skaufman@Sanitarysupplycorp.com

                                                               

Company Name

 

Shipping Address

 

 

 

Billing Address

 

 

 

Contact Name

 

Tel 

 

Fax

 

PO (if required)

 

Email

 

Billing Method

Bill w/approved credit

 

COD

 

Visa/MasterCard

 

 

Equipment Information: (Please use one form for each piece of equipment)

 

Model Number

 

Serial Number

 

Description of Problem

 

 

 

 

Special Instructions

 

 

 

 

Estimate Required?  

Yes

 

No

 

Warranty Repair?

Yes

 

No

 

Return Via (select below):

UPS Ground

 

UPS Red

 

UPS Blue

 

UPS 3rd

 

Fed Exp

 

Other

 

 

IMPORTANT POINTS TO REMEMBER

 

•  Be sure to use a sturdy safe box and all attachments are included with equipment.

•  Do not pack heavy equipment in Styrofoam “peanuts.”

•  If peanuts are used, secure openings so that peanuts do not get inside machine.

•  If warranty repair, enclose a copy of original invoice.

•  Enclose this form in box with equipment to repair.  (Keep a copy for your records.)

•  Use one form for each piece of equipment to be repaired.