Return Material Authorization (RMA) Request Form | TM Electronics

TM Electronics Service, Calibration or Return Material Authorization (RMA) Request Form

Use this form for Service, Calibration, RMA or Expedited Calibration

Your Billing Information

Firstname*:
Lastname*:
Title:
Company*:
Address*:
Address 2:
City*:
State:
Zip*:
Country*:
Email*:
Phone*:   Ext.
Fax:
 

Instrument / Equipment Information

Type of Instrument/Tester:
Solution
Worker
WORKER Integra
BT-1000
BT Integra
Ion Leak Tester
LA-01 (Digital Flow Valve)
LA-04 (Flow Standard)
MDT Series
ES-1000
ET-100
Other
 
Serial Number:
Model:
 
Reason for Return:
Calibration of Instrument (Burst/Package or Leak/Flow Tester)
Expedited Calibration
Flow Verification (LA-01 or LA-04)
Repair Only
Repair and Calibration
Instrument Evaluation
Other
 

Return Shipment Info

Ship Via:
Shipping Account Number:
Note: If you do not have a preference on shipping account number, we will add the shipping costs to the cost of the repair and/or calibration.
 
Shipping address: Use billing Yes    No
Special Shipping Instructions:
 
Instrument Use Information:
Please select the appropriate "Use(s)" from the following:
Instrument has not been used
Instrument has only been used with clean, dry, inert gas (Air, Nitrogen, Argon, Helium)
Instrument has been exposed to non-inert gases, oil, liquids, powders, biological, or radioactive agents
 
Please list all materials that the instrument has been exposed to:
Has the instrument been properly cleaned so that it is safe for human handling?
Yes
- N/A (information not available)
No
 
Purchase Order:
Attach File:
 
 
 
Return Material Authorization (RMA) Request Form | TM Electronics
return material authorization request, RMA, tm electronics
Fill out this TM Eletronics Return Material Authorization form for service requests.