Internet Packing Slip

Customer Name: PO Number: Address Line 1: AES Customer No: Address Line 2: Date:

If billing address is different from shipping address, please supply billing information above and fill shipping address in the "Notes" section below.

Qty: Manufacturer Item Part # Serial # Notes: Please type notes/comments here AES Form IPS/0 Information: Please click "Print Page" and enclose the printout with your repair shipment, and then click "Submit" to email these details to our Customer Service Dept to ensure faster processing of your order.