TELMA

1501 Morse Ave.

Elk Grove Village, IL 60007

Ph: 800-797-7714

 

 

                                                                                                TELMA WARRANTY Return Form

 

 

 

 

Shipment Information

 

 

SHIP DATE:
# OF PIECES:
WEIGHT:
INCIDENT CASE #:
HANDLING UNITS:
DOCK HOURS:
PART BEING RETURNED:
   

 

 

 

 

Pick-Up Location

 

COMPANY NAME:              
ADDRESS:                             
CITY:                                      
STATE:                                   
ZIP:                                         
   
CONTACT PERSON:            
PHONE:                                  
FAX:                                       
EMAIL:                          
   
RETURNING COMPANY IS END USER? 

YES           NO