ESS XT-3 - Page 44

ESS XT-3 OWNER’S MANUAL
SPRAYWAND RETURN FORM__________________________________________
When returning a spraywand for warranty or repair services to ESS, please pack it securely and include the following form with the
your spraywand. We require you to ll out all informaon completely. With many changes to companies our records may not
have the correct contact informaon. We at ESS want to expedite the process quickly but communicaon is the key to a quick
repair.
Spraywand Serial Number: ___________________________________________________________
RETURNED FROM:
Company: _____________________________________________________________________
Contact Person: ______________________________________________________________________
Phone number: ______________________________________________________________________
Email Address: _____________________________________________________________________
Shipping Address: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Mailing Address: ____________________________________________________________________
(if dierent) ____________________________________________________________________
____________________________________________________________________
Date last serviced: ___________________________________________________________________
Problems with the Spraywand or is this just a yearly service?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Method of Payment:
□ Account (must be an approved account)
□ COD
□ Credit Card (Visa) □ (Master Card) □ (American Express)
Card Number:_________________________________________ CCV:__________________
Card Holders Name:_________________________________ Expiraon
Date_________________
Full Mailing Address: __________________________________________
__________________________________________
__________________________________________
__________________________________________
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