JRF Return Authorization / Printable Work Order Form (for orders from within the US only)
Please take a few minutes to complete this form, print it out (use your "fit to page" printing layout option), sign it, and enclose it with your shipment to JRF.

TELEPHONE (973) 579-5773 • FAX (973) 579-6021

If you are shipping via UPS, FedEx, etc. send your package to our physical address at:
JRF Magnetic Sciences, 249 Kennedy Rd, Greendell, NJ 07839

If you are using the USPS postal service, you must send it to our post office box address at:
JRF Magnetic Sciences, P.O. Box 309, Greendell, NJ 07839

Note: UPS Stores will tell you that 249 Kennedy Road does not show up in their data base. This is an unfixable flaw in UPS computer system. Have the UPS Store override the address on the validate address screen or call 800-742-5877 for instructions.
Your Company:
Contact Name:
Telephone:
FAX:
E-mail:
Work authorization: (select all the items that you want done)
Relap Heads Ground cores Flutter idler ultrasonic clean and lubricate
Optical Alignment Edge relief slots Evaluation only
Head Replacement
(if required)		 Replace hardware
(Tape guides, bearings, if required)		 Call with estimate
I am sending this item and here are my specific instructions (max 64 char.):


Shipping Instructions:
US POSTAL SERVICE (USPS): . 1st Class...... Priority Mail...... Express Mail
UPS: ...... Next Day (Red)...... 2nd Day (Blue)...... 3 Day...... Ground
FedEx:. Priority 1...... Standard...... Economy (2 day)...... Saver (3 day)

Additional Services: Saturday Delivery.....Hold for Pickup (see "ship to" section)

Your Account Number

Direct Signature Required

I do.....I do not .....want my package insured for full replacement value.
Enter insurance amount

Terms:
Note: Enclose this form WITH your item; it is not for email use.

If Credit Card, enter your card number:
Expiration: CVV:
Card Holder's Name:

P.O. Number: Net 30 days (pre-approved open accounts only, please)


I authorize JRF to proceed with my work order. (Please don't forget to sign!)

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