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NAME
COMPANY/INSTITUTE
ADDRESS
POSTCODE +CITY
COUNTRY
PHONE
FAX
I would like to receive a price list for recalibration
I would like to submit my instruments for recalibration
Type/Model:
Qty:
Conformation by Kipp & Zonen
□
Yes, the dates are acceptable to us
□
No, unfortunately the dates do not fit into our calibration schedule.
We suggest the following dates:
. . . . . ./. . . . . ./. . . . . .
. . . . . ./. . . . . ./. . . . . .
Fax +31-15-2620351
Kipp & Zonen P.O. Box 507
Delft The Netherlands
:
:
:
:
:
:
:
Requested delivery time
I intend to send the instruments to
Kipp & Zonen on:
. . . . . ./. . . . . ./. . . . . .
I would like to receive the instrument(s) back
on:
. . . . . ./. . . . . ./. . . . . .
or mail to:
APPENDIX IV
2600AM
61
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