"Equipment Repair Form - Hamdon Wellsite Solutions"

ADVERTISEMENT
ADVERTISEMENT

Download "Equipment Repair Form - Hamdon Wellsite Solutions"

Download PDF

Fill PDF online

Rate (4.8 / 5) 15 votes
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
th
9415 – 27
AVE NW
EDMONTON, AB, CANADA
T6N 1C9
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
th
9415 – 27
AVE NW
EDMONTON, AB, CANADA
T6N 1C9