Calibration Repair Form

To view the calibration pricing on a unit click here.
Bill to Address:
Company Name:
Address:
City/Town:
State/Province:
Zip/Postal Code:
Country:
Ship to Address:
Company Name:
Address:
City/Town:
State/Province:
Zip/Postal Code:
Country:

Contact Info:
First and Last Name:
Phone Number:
E-Mail Address:
Return/Calibration/Repair for:
P.O. #:
Item/Model #:
Serial #:
Note: If there are multiple serial numbers, separate with slashes. Example: 507661612054/507661612055...
Type:
Price:
Shipping Method:
Shipping Account Number:
Reason for Return/Calibration:
Invoice/Sales Order # or Date when purchased:
Other Comments:

Payment Terms:


PAYMENT TERMS: Payment may be made by credit card or with net 30 terms if an account has been previously established with DII. Credit cards will be charged on invoice/shipment date. Credit card payments accepted by DII after date of invoice are subject to a 5% service charge.