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[]
[null,null,null,null,null,null,null,"RMA #"]
[null,null,null,null,null,null,"AMP-Cherokee Environmental Solutions"]
[null,null,null,null,null,null,null,null,"100 Logan Court"]
[null,null,null,null,null,null,null,"Angier, NC 27501"]
["Repair Authorization Form",null,null,null,null,null,null,"Phone: (919) 552-0554   (800) 399-4236"]
[null,null,null,null,null,null,null,null,"Fax: (919) 275-6086"]
[]
["Send your repairs to:"]
["AMP-Cherokee Environmental Solutions"]
["Attention: RMA #",null,0]
["100 Logan Court"]
["Angier, NC 27501"]
[]
["Call us at 919-552-0554 or toll free at 800-399-4236 prior to shipping your instrument to receive your repair order number. Enclose this completed form when you ship your instrument to AMP-Cherokee, or e-mail form to service@ampcherokee.com."]
[]
["Bill To:",null,null,null,null,"Ship To:"]
[]
[]
[]
[]
["Attn:",null,null,null,null,"Attn:"]
["Phone:",null,null,null,null,"Phone:"]
["Fax:",null,null,null,null,"Fax:"]
["Email Address:",null,null,null,null,"Email Address:"]
[]
["Contact Name",null,null,null,null,"Preferred Return Shipping Method:"," Place an \"X\" next to your selections below."]
["Purchase Order",null,null,null,null,"FedEx"," ","Overnight",null," "]
["Credit Card","Y/N",null,null,null,"UPS",null,"2-Day"]
[null,null,null,null,null,"Other (Please specify) ",null,"Ground"]
["RMA Invoices Subject To AMP-Cherokee Terms & Conditions",null,null,null,null,"Opt Shipping Account #:"]
[null,null,null,null,null,"Shipping Instructions"]
["Estimate Needed?:",null,"Y/N"]
["A two hour minimum charge for estimates at our 'standard repair rate' applies."]
[]
["Place an \"X\" next to your selections below."]
["Standard Repair "]
["4 week completion",null,null,"Standard Labor, $150 p/hr"]
[]
["Premium Repair"]
["1-2 week completion",null,null,"Premium Labor, $300 p/hr"]
[]
["Note: All Repair Services Subject To Parts Availability, Quotes Are Valid For 30 Days"]
[]
["Calibration Services",null,"Available on request . Please call for applicable  rates."]
["     Voltage: ",null,"0 - 1 ","0 - 5         ","0 - 10            ","Other         OR                                           ","Current:","4 - 20 MA",null,"0 - 20 MA"]
[]
["Equipment Information"]
["Make/Model:"]
[]
["Manufacturer",null,null,null,"Model",null,"Serial#"]
[]
["Instrument Problem:"]
[]
[]
[]
[]
["FIDS ONLY","Please select calibration standard and fuel"]
["Calibration Gas:",null,null,null,"Fuel:",null,null,"Range:"]
["Methane",null,null,null,"60/40"]
["Propane",null,null,null,"H2"]
[]
[]
["Below area to be filled out by an AMP-Cherokee employee                                 \n                                      \n"]
[]
["Date Received: ",null,null,null,"By:"]