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    First Name

    Last Name

    Email Address

    Phone No.

    Company Name*

    Address

    Town

    City

    Country

    Postcode

    Your Calibration or Repair Enquiry

    Please complete the following questionnaire, ticking/filling the boxes as appropriate.

    CRN:

    Load Cell type:






    Manufacturer:


    Type number(s) and Serial number(s) if known:

    Description of fault:

    Estimate date of arrival:

    Requested completion date:

    Please fill out the following questions with all known details

    Output method:



    Core Colour / Connection:

    Output:



    Circuit:



    Is the load cell hazardous area certified?(Please skip the next two questions if no)


    Zone:



    Certification:




    Witness Testing Required:


    Do you have a preferred witnessing body? i.e. Lloyd's Register or ABS:

    Additional Comments:

    *Required