Metal Mesh Product Repair Order Form

205 Huehl Road, Northbrook IL 60062
Tel: USA 1-800-548-GARD (4273) +1 847-291-1600
www.saftgard.com safety@saftgard.com

Company Name *

Billing Street Address or PO Box*

Billing City*

Billing State*

Billing ZIP*

Ship To Company Name*

Shipping Street Address*

Shipping City*

Shipping State*

Shipping ZIP*

Phone Number*

Area CodePhone Number

Email*

example@example.com

Contact Full Name*

First NameLast Name

Purchase Order No.

Please call me for other payment method

How are you sending your goods to us?

Date you are shipping to us*

Carrier used to ship to us

Carrier tracking number

Please advise the quantity of products that you are returning for repair.

Quantity of 3-finger gloves

	Size XXS	Size XS	Size S	Size M	Size L	Size XL	Size XXL
Wrist Length

Quantity of 5-finger fabric strap gloves

	Size XXS	Size XS	Size S	Size M	Size L	Size XL	Size XXL
Wrist length
Short cuff (3-inch or less)
Long cuff (6-inch or longer)

Quantity of 5-finger all steel gloves (no fabric, no spring)

	Size XXS	Size XS	Size S	Size M	Size L	Size XL	Size XXL
Wrist length
Short cuff (3-inch or less)
Long cuff (6-15 inch)
Shoulder length

Quantity of 5-finger all steel gloves with spring cuff

	Size XXS	Size XS	Size S	Size M	Size L	Size XL	Size XXL
Wrist length
Short cuff (3-inch or less)
Long cuff (6-inch or longer)

Quantity of other metal mesh products you are turning for repair (aprons, garments, etc.)

	Please describe clearly
Quantity & description 1
Quantity & description 2
Quantity & description 3
Friendliness

Please have Saf-T-Gard customer service contact me to confirm prices before repairing*

Not all mesh products can be repaired. Generally gloves and garments with holes larger than 1/2-inch (1 cm) diameter are considered non-repairable. Do you want non-repairable products returned to you?*

If you want to be contacted about purchasing new products to replace non-repairable mesh products, check here.

Yes

Ship products for testing, including a printed copy of this form, to:

Saf-T-Gard International
Attn: Mesh Repairs
205 Huehl Road
Northbrook IL 60062

All orders FOB Northbrook IL.
Minumum order $50. Orders less than $50 may be subject to a $5 handling fee.

SPECIAL REQUESTS OR NOTES APPLICABLE TO YOUR REPAIR ORDER

Please PRINT this form in 2 copies, one for your records and one to include with your shipment. Then SUBMIT.

Metal Mesh Safety Products Repair Order Form