Repair Contact Form - NSF Kasco CertiSafe PM-100 Assembly & Installation Manual

Pipe mount
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REPAIR CONTACT FORM

Kasco requires that all equipment sent for repair MUST be accompanied by this form and marked to Repairs attention.
Kasco is NOT responsible for shipping damage accrued in return shipment.
It is the responsibility of the customer to ship and pay freight to Kasco.
Do not ship the mount or control panel with unit, unless otherwise instructed.
A fee of $60 per hour will be assessed for cleaning excessively dirty units.
Refer to the CertiSafe™ Tank Mixer Operation & Maintenance Manual for easy-to-follow troubleshooting tips to rule out site issues.
Note: Contact Information should be that of the person or company to contact for repair information.
Company name
Contact name
Address
Phone number
Email address
Preferred method of contact
(circle)
Purchase order number
Additional notes
for repair technician:
PM-100 CERTISAFE™ PIPE MOUNT
First name
Street
City
State
ZIP code
Primary
Phone
Kasco Marine
800 Deere Road
Prescott, WI 54021
18
Last name
Alternate
Email
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MANUAL
852113 / 2021.1.1

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