Returns/RMA Request

Billing Contact(Required)

Invalid Input

Phone(Required)

Invalid Input

Email(Required)

Invalid Input

Fax Number(Required)

Invalid Input

Billing Address(Required)

Invalid Input

Shipping Information

Same as Billing Information

Invalid Input

Shipping Address(Required)

Invalid Input

Will debit be issued?(Required)

Yes

Invalid Input

If yes, amount to be debited:

Invalid Input

Will failure analysis be required?(Required)

Yes

Invalid Input

Customer Repair Purchase Order No.(Required)

Invalid Input

Qty(Required)

Invalid Input

Serial No(s)(Required)

Invalid Input

PS P/N(Required)

Invalid Input

Cust. P/N(Required)

Invalid Input

Reason for Return(Required)

Invalid Input

Hazardous Media(Required)

Yes

Invalid Input

Has the returned product been exposed to hazardous or toxic substances? If the unit has been exposed to any media, Precision Sensors requires a copy (FAX is acceptable) of the pertinent MSDS or written statement certifying that the unit was not exposed to any media covered by a MSDS. This information is required prior to the issuance of an RMA number.

Comments

Invalid Input