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Rental Units

Shipping Cases

Material Safety (MSDS)

Extended Warranty Plan

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Service & Support Brochure

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Product Warranty Registration

Date: *

Instrument: *

Serial#: *

Part#:

Instrument End User

First Name: *

Last Name: *

Position:

Company: *

Address 1: *

Address 2:

City:

State/Province: *

Zip Code: *

Country: *

Phone#: *

Fax#: *

Email: *

Lab Manager

Same As End User: *

First Name:

Last Name:

Position:

Company:

Address 1:

Address 2:

City:

State:

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Country:

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Industry:

Refinery
Pipeline/Terminal
Inspection
Government
Process
Biofuel
Food/Flavor/Fragrance
Pharmaceutical
Environmental
Paint/Coating/Plastic
Asphalt

New Literature Available (check if interested):

Fuel Analysis (Grabner IRXpert)
Distillation (Grabner ADXpert)
Vapor Pressure (Grabner VPXpert)
Biodiesel Brochure
Terminal Brochure

Other instruments at your facility:

Were you involved in the decision to purchase this unit?: *

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No

If not, who made the decision to purchase this unit?:

Would you like information about an extended warranty program?: *

Yes
No

Do you need a shipping case for your instrument?: *

Yes
No

How was your experience when purchasing this instrument?: *

Question/Comment:

If your unit needs calibration or service work, be sure to try our state-of-the art service facility. Call 918-459-7170 for additional information.

Ph: (918) 459-7170 ~ email: petrolab.sales@ametek.com ~ 2001 N Indianwood Ave, Broken Arrow, OK 74012

- - - sales - - return authorization - ametek