Service/Calibration/Repair Request HORIBA U-50 Series

A HARD COPY OF THIS FORM MUST BE SENT WITH ANY EQUIPMENT RETURNED TO OUR OFFICE
Name:*
First Last
Company:*
Email:*
Phone:*
Address: (for return of equipment)*
Street Address Town/City State Postcode Country
Model:*
Serial Number: (HGS NO. on the metal plate on the probe - see picture)*
Work Required:*
Details:*
Purchase Order Number:
Estimate Service fee: (Excludes GST)
Price:
DO Membrane Replacement: (Excludes GST)
Price:
** Note: These prices do not include any other parts, batteries, sensors, repairs etc which may be required to complete the service.
** A firm quote including freight will be emailed after we have inspected the equipment.
** Equipment should be packaged carefully to avoid damage in transit and sent to Australian Scientific Pty Ltd, 11 McDougall Street, Kotara, NSW 2289
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