Service Request Form

Ship to one of the Mountz Service Centers:
Eastern Service Center Contact: Kaylen Ewing kaylen.ewing@mountztorque.com 19051 Underwood Rd., Foley, AL 36535 Phone: (251) 943-4125 Fax: (251) 943-4979	Western Service Center Contact: James Bassett james.bassett@mountztorque.com 1080 N. 11th Street, San Jose, CA 95112 Phone: (408) 207-4320 Fax: (408) 292-2733	UK Service Center Contact: Mawuli Austin mawuli.austin@mountztorque.com Pier Copse Courtyard, Milland Lane,   Liphook, Hampshire, GU30 7JN, UK Phone: 00 44 1428 741756

Please supply a complete list of item in for service and include a description of issues with each tool. Also, if calibration is required, please indicate direction (CW/CCW) and duration of calibration (6 mo / 12 mo / etc.). RMAs for service not required. Please select "Warranty" column if warranty repair/service consideration is requested.

Qty	Cal/Repair	Tool Model #	Serial #	Describe Issue	Warranty
	Calibration Repair
	Calibration Repair
	Calibration Repair
	Calibration Repair
	Calibration Repair
	Calibration Repair
	Calibration Repair
	Calibration Repair

* FOB: Shipping Point, Prepaid and Charge. Please provide your freight account number for freight collect shipments.
* Terms: Net 30 days with Approved Credit, [Credit Card, COD, Prepay]. In order to expedite your service request, please include a purchase order with your service form.
* Warranty: Please provide a copy of original PO for repair or service requested under warranty (must be supplied).
* Inspection fees may apply if repair quote is issued and declined or if repairs cannot be completed.