Products are evaluated on arrival to the repair facility - you will receive, via fax or e-mail, a repair cost estimate within approximately two days of instrument receipt. A&J Vacuum Services would like to Thank You for Your Business with us. We are looking forward to meet your high expectations, and provide the best Service possible. DECLARATION OF CONTAMINATION CREDIT CARD AUTHORIZATION NET 30 APPLICATION FORM Please fill all these fields. Company Name:   Company address:   Contact name:   Telephone:   E-mail:   Fax: Po#:   Purchasing contact:   Tel: Make 1:   Model & Serial #:   Make 2:   Model & Serial #:   Make 3:   Model & Serial #:   Make 4:   Model & Serial #:   Make 5:   Model & Serial #:   Reason for repair:

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