SEND KIT(S) TO:

Servicing your needs since 1962

All our work is warranty for 90 days.

K.C. Calibration Lab., Inc.
8391 Melrose Drive
Lenexa, Kansas  66214
Ph: (913) 541-0629
(888) 541-0629

service@kccl.com


BACKFLOW TEST KIT - ReCalibration Service Request Form

CONTACT INFORMATION

 

Date:

 E-Mail:.

Contact Name: 

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Company  Phone:

Contact Phone:

 

RETURN SHIPPING ADDRESS

Attn. and/or PO#:

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Company:

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Address:

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Address:

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City, State, Zip:

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Return Via (Check one):

UPS Ground

UPS 2nd Day Air

UPS Next Day Air

Other:

      Type of service required  (Check one): Normal Turnaround   1 week Turn around Rush (Extra charge per item)       2 Day Turn around Rush (Extra charge per item)        1 Day Rush Return (Extra charge per item)

KIT(S) RETURNED

BRAND

MODEL

SERIAL NO.

COMMENT
(Problem Description, i.e. additional service required)

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CREDIT CARD INFORMATION

Credit Card (√ one): 

American Express        Mastercard        Visa

Card Verification / Security Code:

Number:

Credit Card
Billing Address:

 

 

 

Expiration:

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Name on Card:

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* We accept already established accounts all others are COD.  If you wish to try  establish an account please fill out this credit application.*

Send kit(s) to address at top of form. Calibration charge (for analog gauge starting at $90.00 each and Digital units starting at $120.00) and includes differential pressure gauge calibration, static gauge calibration, static pressure check, hose filter check, and calibration papers showing accuracy.   If additional service is required we will contact you before proceeding. Your credit card will be charged for service performed plus freight unless other prior arrangements have been made. If certification to NIST standards are required an additional fee of $35.00 for certification papers showing accuracy traceable to NIST.   

BE ADVISED: Analog gauges with needle valve stems that won't hold pressure, tubing or filter leaks or bent pointers cannot be calibrated.  We assume that these obvious repairs are pre-authorized and repairs will be made in order to proceed with calibration.

When shipping unit for calibration, PLEASE  drain the water from the gauge.  Leave hoses attached, but remove extraneous items like tools.  Leave the gauge in original case and pack that into a cardboard box for additional protection.  Box securely with well-compressed fill to protect the gauge from damage in transit.  All gauges will be returned UPS Ground, unless otherwise advised.

 

IF REPAIRS ARE NEEDED, OTHER THAN PRE-AUTHORIZED ABOVE, WE WILL CALL YOU WITH AN ESTIMATE BEFORE WE BEGIN ANY WORK!  ALL REPAIR PARTS ARE GENUINE MANUFACTURER'S PARTS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Form Rev.: 062818