AVM Service Form
Print this form and enclose it with equipment being sent. In addition, e-mailing the form to us as an attachment will advise us that your equipment is on its way.

Name:	Phone:
Institution:	Fax:
PO Number or credit card number:	E-mail Address:
Name of cardholder:	Date Sent:
Expiration date:
3-digit security code from back of card:

Address for Equipment Return:

Address for Billing or Mailing of Paid Invoice:

     Equipment being Returned: Include Serial Numbers and Frequencies. Use separate form for each RECEIVER.
     Instructions or Request for Work:
     Additional Comments:

Address for Mailing / Postal Shipping: AVM INSTRUMENT COMPANY, LTD Post Office Box 1898 Colfax, California 95713-1898 USA

Address for UPS and all non-postal shipping: AVM INSTRUMENT COMPANY, LTD 158 Whitcomb Avenue Colfax, California 95713-1898 USA

Phone: 1-530-346-6300; Fax:1-530-346-6306
e-mail: service@avminstrument.com
Website: www.avminstrument.com
Remember: When sending from outside the USA, mark package:
"USA-made Goods Returned to Manufacturer for Repair."