Safety Products Inc - Occupational Safety, Facility ...



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SPI Authorization to Return Instrument for Repair

Description of problem or special instructions:

Serial #: _______________________________ Model # : _____________________________

Phone: 855-803-5093 Fax: 863.904.3815

You may also reach Scott Williamson directly at swilliamson@

New customers must choose one of the following methods of payment.

___ Credit card – contact SPI or use the online payment.

___ Freight – customer is responsible for outbound if quote is not accepted.

___ Pre-Pay – we will e-mail you the quote to the e-mail above.

Please return this form with your instrument to the attention of Scott Williamson at:

Safety Products Inc.

Scott Williamson

3517 Craftsman Blvd

Lakeland, Florida 33803

Please complete the form attached and send in with your unit.

Do not included cases or any other equipment other than the gas detector itself.

Safety Products assumes no responsibility for lost equipment shipped that has not been authorized as needed for the repair.

Thank you for understanding.

___ Please contact me with estimate of repair cost before proceeding.

___ Please repair up to 50% of the replacement value of this monitor.

___ Please repair up to $ ______________

___ Other __________________________

We will ship UPS ground add unless otherwise specified _____________________________

|Name: |Email: |

|Company: |Phone: |

| | |

|Bill To: |Ship to: |

|Name: |Name: |

|Address: |Address: |

|City/St/Zip: |City/St/Zip: |

This form must accompany instrument when we receive it for repair.

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