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Service & Calibration
Service Request Form
Name
*
First
Last
Email
*
Phone
*
Instrument Information
My service request is for a(n)
*
EZ-1X
C30-ZX
Pocket CO
I am requesting:
*
Standard Calibration and Certification (sensor and battery replacement if necessary)
Service, Repair, or Replacement if necessary
Serial Number
Date of Purchase
MM slash DD slash YYYY
Please answer the following questions
How was the instrument used?
In what type of environment was the instrument used?
Please include a description of temperature and humidity
How often was the instrument used?
*
Always on
Frequent use, several hours a day
Continuous use, several days a week
Sporadic use, several times throughout the year
Have any accidents or damage occured to your device
*
Yes
No
Please describe any accidental use or damage that has occurred
*
Service Release
*
Yes, I agree
I understand that prices quoted for service may not reflect all charges, and that after inspection I will receive notice of any additional charges that are required to service my device.
Shipping Release
*
Yes, I agree
I understand that prices quoted reflect domestic shipping charges only, and that I may be subject to additional charges. * International shipments will be charged an additional $25.00-$35.00 based on location.
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