Cartridge Intake Form

Please Submit This Form Prior To Shipment of Cartridge to WAM Engineering

NOTE: to ensure minimal processing time, before shipping please contact us regarding current cartridge processing times.

First name

Last name

Phone

Email

Cartridge Brand and Model Name

Select an option that best describes your cartridge

New Cartridge

Rebuilt/Re-tipped Cartridge

Demo or Used Cartridge

Cartridge Use Hours

How much shipping insurance do you want upon return of the cartridge? (Cost is $8.60 per $1,000 in coverage. Maximum $10k)

When we return the cartridge to you would you like the delivery to require a signature?

No Signature Required

Signature Required

Shipment Tracking Number (if available)

Select a Corrective Shim

Standard Cured Resin (included with analysis)

Milled Brass ($275 upgrade)

Milled Austenitic Stainless Steel ($550 upgrade)

Type of service

Standard Cartridge Analysis - $495

Kuzma Pre-Mount Service - $795

Where to ship the completed cartridge to?

Address

Land/Region

Adresse

Adresszusatz

Stadt

Postleitzahl

Comments