Important! Please Submit 1 Service Request Form Per Device!

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