Antenna Calibration Request Form, EMC/EMI Antennas
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9710 Cozycroft Ave. Chatsworth CA, 91311 · Call us at (818) 998 0223 to speak with a representative
EMI/EMC Antennas
 
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Antenna Recalibration Request Form

Please fill out the information below and submit it to us.

Contact Information
Name
Company
Phone
Fax
Email
Ship To:
  		Bill To:     same as ship to
Company
Address
Address
City
State
Country Zip
ATTN: 		Company
Address
Address
City
State
Country Zip
 
Shipping Method:
Shipping Company:
Ship via:
Acct #:   or   Pre-pay and add
Payment Method:
Reference PO Number
Pay by credit card (A.H. Systems will call for credit card information)
Net 30 Purchase Order (Please include a copy of the PO with the items being calibrated)
Products
Model
Number
Serial Number
Distance/test type
(1, 3 and/or 10 meters apart)
Polarity
(Horizontal and/or Vertical)
Interval
(12 Months)


Order Notes:


I have not received a quotation, please send a quotation to my Email address listed above





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A.H. Systems, inc.
9710 Cozycroft Ave. • Chatsworth, CA 91311
phone: (818) 998-0223 • fax: (818) 998-6892

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