Important! Please Submit 1 Service Request Form Per Device!

Must Read Before continuing Important Service Notes Effective 2/1/24:

1. Additional Parts, Service or Documents: Please be aware if any additional parts, services, or documents are required for your meter at time of service,

an increase in charges may apply. We will notify you of any such requirements before proceeding.

2. Storage Fee: A Storage Fee of $25. will be applied if your meter remains at our facility for more than 30 days (from date of estimate to date of approval received). After the initial 30 days, a weekly storage fee of $10. will be added for each subsequent week (partial or full week) your meter remains at our facility. “Approval received” is defined as a PO or a Payment received.

If a Storage Fee is assessed, an updated PO or payment reflecting the additional storage fee must be received before meter is serviced.

3. Service Refusal: When you send in your meter for service and/or calibration and you choose not to proceed with the required service, an Evaluation Fee of $100. will be assessed and billed to your account. The Evaluation Fee and shipping fee must be paid in advance before shipping the meter back to you.

4. Abandoned Meter: Meter will be considered “abandoned” by customer if no communication is received from customer within six (6) months of time of customer receiving estimate. Abandoned meters will be discarded by Tensitron Service.

By checking the box below, I acknowledge I have read and understand the Service Notes and agree to the additional fees.

By checking this box, I acknowledge I have read and understand the Service Notes and agree to the additional fees effective 2/1/24

Sender Contact Information

Contact First Name: *

Contact Last Name: *

Company Name: *

Address *

City *

State *

Postal code *

Phone Number *

Email (Use same email we contacted you with) *

Purchase Order #: (P.O. Number)

Instrument Information and Calibration Materials

Please list your calibration instructions below. If sending multiple instrument(s), please complete a separate service request for each instrument by refreshing the page once you have submitted this form.

Select Instrument Family *

Select

ACM
ACX
STX
LX
TR
TX
WX
CX
Other
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Specify Model Number On Device *

Serial Number Of Device: (Be exact with format as your documents/device) *

Confirm that you used the correct formatting in regard to your serial number above, using capital letters, a hyphen in-between, & no spaces (123-AB) *

I confirm

Include service or special calibration if needed:

UPS Return Shipping Information

Shipping Method For Return Shipping:

Level of Shipping Service Needed: *

Ground

Next Day Air

2nd Day Air

Select: (Only select I will "provide a shipping label" if you are using FedEx): *

Charges Prepaid and Added to Invoice

Collect on my Account

I will provide a shipping label

If "Collect On My Account" is Selected, What Is Your Account #? (UPS Only*)

Return Shipping Address:

Contact Name: (Only if Different)

Company: (Only if Different)

Shipping St. Address:

City, State, and Zip Code:

Phone Number: (Only if Different)

Email: (Only if Different)

Your Purchase Order Number

Select Your Preferred Method of Payment: *

Invoiced with Net-30 terms: upon approval from Tensitron

Payment in Advance by Credit Card: 3.5% fee, processed through Square

Payment in advance by ACH or check. (Canadian checks carry a $20 fee)

Payment in advance by wire transfer: $65 fee, required for most international orders

Additional Services

Check Below For Additional Documents and Services

Before-and-After (“As Found / As Left”) Data must be requested BEFORE instrument is estimated ($60 per material)

Expedited Service (50% surcharge): Guaranteed turnaround time of one week.

Certificate of Conformance ($20 per instrument)

Commercial Invoice ($20)

Special Request

If Special Request Selected, Please Provide More Information

Any additional Instructions

Confirm that you only filled out a service request for a singular device and used the correct formatting for your serial number (Capital letters, hyphen, and no spaces; ie. (123-AB) *

I Confirm

If you have any questions or need urgent assistance, please call (303) 702-1980