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


PLEASE NOTE NEW SHIP TO LOCATION
New Manufacturing, Service and Distribution Address effective 5/1/19
TM Electronics Inc.
68 Barnum Road
Devens Massachusetts
01434-3508

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:
 
 
  REMINDER-NEW ADDRESS
TM Electronics Inc.
68 Barnum Road
Devens Massachusetts
01434-3508
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.