www
.SilcoTek.
com
112Benner Circle | Bellefonte, PA 16823 | 814-353-1778 | Fax: 814-353-1697
YourQuoteNumber is
Please complete this ticket and include thisdocumentationwith your shipment.
Total Pieces: ______________Brief Description: ______________________________________________________________
Special HandlingRequirements/Comments _________________________________________________________________
Shipping and insurance charges are pre-paid and added to invoice:
Please provide the insurance value of the parts for return shipment. $________________
Unless otherwise instructed, SilcoTekwill add the
coatingcost
to the above listed value of the parts todetermine
the total insurance value for return shipping.
PO#__________________PreferredShippingMethod: ___________________ Freight Account # ____________________
Order Contact:__________________Phone: _______________________ Email: ___________________________________
Domestic& International
Ship to:
RemittanceAddress
Mail to:
SilcoTekCustomsBroker
t4JMDPTekwill re-use customer packagingwhen
applicable in an effort to re-cycle andminimize
waste. However, wewill use newpackaging if
your package is received in damaged to ensure
safe transportation back to you.
t1MFBTF CF TVre topackage heavy parts properly
to avoid any part-to-part contact thatmay result
in damage to your parts in transportation.
Packagingpeanuts andbubblewrapmay not be
sufficient toprotect your parts.
t1MFBTF JOGPSNVT PG BOZ TQFDJBM IBOEMJOH
requirements youmay have for your parts.
Domestic and International Shipping
Customer is responsible for all shipping, customs fees, duties, and taxeswhere applicable.
Packaging
Cut here andplace in package
Cut here andplace in package
Cut here andplace in package
Cut here andplace shipping label on box
Cut here andplace shipping label on box
Cut here andplace shipping label on box
From:
______________________
_________________________
_________________________
Helpusprotect your parts!
Please identify any critical surfaces, finishes, or sealing surfaces
that require special handlingor protectionduringprocessing.
Document #:
R-20-06
Initiated:
6/25/07
Revised:
/
QuoteNumber
¥
Chromalytic Technology
232Forest Rd,
BoroniaVIC 3155
0397622034
Chromalytic Technology
viaPayPAL Invoice
or Bank Transfer
Export & return viaChromalytic
- pre-arranged
DoNOT return itemswithout anRA
RETURNAUTHORISATIONNUMBER ( fromChromalytic)
