PREFERRED RETURN SHIPPING METHOD
PRODUCT INFORMATION
CONTACT INFORMATION
CONTROL COMPANY
12554 OLD GALVESTON ROAD • SUITE B230 • WEBSTER, TX 77598 USA
PHONE 281 482-1714 • FAX 281 482-9448 EMAIL service@control3.com
INSTRUCTIONS:
Please fill out this form, enclose it with the item being sent, and ship prepaid to the address above.
For customers outside the United States, when returning your item, all shipping charges, customs, duties, taxes and fees are to be paid by the customer.
Once received, our Service Department will perform an evaluation; you will then receive a fax with quoted charges for the
service and/or calibration you requested for your approval. The evaluation is free and typically takes two (2) business
days. Payment terms for service are: Check in advance or Visa / MasterCard / American Express.
For customers outside the United States, international payment terms will be faxed following the evaluation.
There are no charges until you approve them. A Return Authorization number is not required.
CONTROL COMPANY
Return for Calibration and/or Repair Evaluation Form
Contact Name*
Telephone#* Fax#*
Email
Shipping Address*
(No P.O. Boxes)
City*
Zip/Postal Code* Country
Catalog#(s) or Item Description(s) Quantity
–Calibration–Both As Found and As Left
–Repair Evaluation
–Calibration–As Left Only
Returned for:*
Special
Instructions/
Comments
Carrier /
Account Number
International Customer Use Only (required)
CONTROL COMPANY
ATTN: SERVICE DEPARTMENT
12554 OLD GALVESTON ROAD
SUITE B230
W
EBSTER, TX 77598 USA
Cut along
line to
create a
shipping
label
*
Required Fields
State*
You may type the requested data directly on to this form
using your computer and then print the form.
- or -
You may print this form and write in the requested data.
After completing this form, be sure to enclose it with the item(s) being sent.
Company Name*
Service Level
–Ground –3-Day –2-Day –Next Day
For customers inside the USA, return shipping charges are prepaid and added to the service estimate. Please specify a preferred service level.
For international customers, all shipping charges are collect to your shipping account number. All customs, duties, taxes and fees are to be paid by the customer.
–Calibration–As Found Only
In tolerance conditions are based on test results falling within specified limits with no reduction by the uncertainty.
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