Amtronix Instruments, Inc. Service Request Form    (print and complete this form-include with your unit)

    If you are shipping a unit to Amtronix for repair, please complete this form.  Protect your unit! Make sure the 8920 unit has a minimum of 3" protection at the front and rear, 2" at the sides , top and bottom. These are minimums. We recommend a box at least 28" long, 22" wide and 13" high. Use bubble wrap, foam or other protective material. When using foam, put your unit into a plastic bag first so foam particles don't get into the unit.

Ship via UPS , FedEx, FedEx Ground or other carrier to:

Amtronix Instruments, Inc.
C/O Rick Bowman
4168 Baker St. Ext.
Lakewood, NY  14750
Ph 716-763-9104

Your information here:

Company Name:__________________________________________________  Contact Person:__________________________________________________

 Phone number:_______________________________________________

Address:(street):______________________________________________________________________City:__________________________________________

State:______________________Zip Code:_____________________

Model Number:_____________________________________________Serial Number:__________________________________________________________

Nature of Problem:________________________________________________________________________________________________________________________________________

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Firmware upgrade, if this is an HP 8920B, we offer to upgrade the firmware to the latest V6.01 at no extra charge. Do you want this upgrade? (circle)     YES    NO