SERVICE
INFORMATION FORM
(COMPLETE & INCLUDE WITH SHIPMENT)
Your Name
____________________________________________________________________________________________________________________
Complete Address (street, city, state):
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
Email
_________________________________________________________Phone______________________________________________________
Year/Make/Model
________________________________________________________________________________________________________________
Volts (6 or 12)
___________________________________________ Positive or Negative
Earth? __________________________________________________
Describe work you want done
________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
Include any previous correspondence or
email you have had with APT about this job. See
S&H tips before packing and sealing. We recommend UPS or FedEx.
Ship to:
(Cut and use for shipping label)
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APT Instruments Intl Inc
9632 Humboldt Ave S
Bloomington MN 55431
952-881-7095