EQUIPMENT FOR REPAIR DECLARATION INSTRUCTIONS

Section 1: Vacuum pump and fluid type

Section 2: Condition of the vacuum pump

Section 4

Section 5: Declaration

All pumps received will be disassembled, if necessary, to evaluate the repairs needed. If you elect not to repair the pump after the evaluation, the pump will be returned in disassembled condition.

I have made reasonable inquiry and supplied accurate information on the declaration form. I have not withheld any information and have followed Vacuum Pump Repair USA. instructions for sending in equipment.

Vacuum Pump Repair