Rohde & Schwarz

1. Your Data

General address: Contact details

Company

Dept./Section

First Name

Last Name *

Phone *

Fax

E-mail Address *

Street *

House No *

ZIP Code / Postal Code

City *

Country *

Region

Pick up from (expand this section, if different from general address)

Company

Dept./Section

First Name

Last Name

Phone

Fax

E-Mail

Street

House No

ZIP Code / Postal Code

City

Country

Region

Delivery To (expand this section, if different from general address)

Company

Dept./Section

First Name

Last Name

Phone

Fax

E-Mail

Street

House No

ZIP Code / Postal Code

City

Country

Region

Address on Calibration Certificate (expand this section, if different from general address)

Company

Dept./Section

First Name

Last Name

Phone

Fax

E-Mail

Street

House No

ZIP Code / Postal Code

City

Country

Region

Invoice To (expand this section, if different from general address)

Company

Dept./Section

First Name

Last Name

Phone

Fax

E-Mail

Street

House No

ZIP Code / Postal Code

City

Country

Region

3. Pick up

We would like to use the R&S shipping service (depending on the packet weight and dimensions). If the transportation by the R&S shipping agent is not possible due to weight or dimensions R&S will arrange the pick up by another shipping agent.

Intended delivery date

Please enter the following packet data here:

Weight kg (appropriate packaging incl.) kg

R&S should arrange the pick-up by another forwarding agent at additional expense, if the R&S shipping agent is not possible.

4. Return delivery

Desired return delivery after service has been performed:

Return delivery:

Standard
Express (at additional expense)
Pickup by customer

Contact person

Phone

E-mail Address

* required item

Service Request

General address: Contact details

Pick up from (expand this section, if different from general address)

Delivery To (expand this section, if different from general address)

Address on Calibration Certificate (expand this section, if different from general address)

Invoice To (expand this section, if different from general address)

2.b. Service Requested

Calibration

Repair

Other Services