Company
Contact/Phone
Address
Date
Machine Type (make, model and serial number)
Probe Included
yes
no
Bill To Address
Ship To Address
Problem
Shipping Instructions:
Carrier Ground Insurance coverage$_______
UPS Next Day
FedEx 2nd Day
Other (please specify)______________
(Shipping and insurance will be added to invoice)
Please use the tear-off label below for your shipping label.
From:
To:
Total Machine Vet Services
10420 Borror Rd.
Orient, OH 43146
614-877-9740
