UK Blade Service Form

Customer Blade Service Form

1. Complete the form below
2. Carefully package the cutters (cutters are sharp, please handle with extreme caution).
3. Ship to: Cengar Ltd. Attn: Sue Shaw, Ever Extruder
Springfield Works, Saddleworth Rd,
Halifax HX4 8LZ, United Kingdom
Cost per blade is 35 euro + shipping.
Customer is billed by Ever Extruder after shipment.

Customer Blade Service Form
Company Name*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Country
Name

First Name Last Name
Contact Email
example@example.com
Number of Cutters and Blade Count*
Example: 3 x 6 blades, 1 x 24 blades
Number of Boxes Shipped*
Shipping Via

UPS Fed Ex DHL
Tracking Number(s)
Special Notes
Initials*
Should be Empty: