Page 119
RETURN MATERIAL AUTHORIZATION
Please complete Form and Fax to 1-800-833-6971
Section A
Section B
An Incomplete Form May Delay Processing of this RMA.
Return number: ____________ RMA
Dist/Rep Name and Address:
_________________________________________________
_________________________________________________
Certification sheet
or
MSDS
is
Required
SHIP
TO:
Red Seal Measurement
, Inc.
_________________________________________________
_________________________________________________
1310 Emerald Road
Account # _______________________________________
Greenwood, SC 29646
Contact Person: ___________________________________
Phone #: ________________________________________
No Material to be Returned. Credit # ___________________
Fax #:
________________________________________
Parts to be returned for repair and replacement.
Restocking fee to apply of ________________%
SECTION C: Please Mark All Applicable Boxes with an “X”
1. Register Repair
6. Ordered Wrong Part Number
2. Defective Flow Meter/Part
7. Non-Warranty (Evaluate/Repair)
3. Defective Replacement Part
8. Stock Return (On approval)
4. Reimburse Labor Hours
9. Order Entered Incorrectly
5. Shipped Incorrect Part Number
SECTION D: Please Complete the Following Information
_______________________
Order Date:
________________________________
_______________________
P.O. # Date:
________________________________
_______________________
Size & Type of Meter: ________________________________
RSM
Order No.
Distributor P.O. #:
Date
of
Installation:
Flow
Meter Serial #
_______________________
Register Serial #:
________________________________
Customer Name: ____________________________________
Address: _________________________________________
_________________________________________
1) Describe Problem in Detail – (Attach Additional Sheet if Necessary)
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
2) Service Performed to Correct Problem – (Attach Additional Sheet if Necessary)
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
3) Location Where Service was Performed ___________________________ 4) Labor Hrs. to Perform Service: ___________________
(Travel Time Not Included)
SECTION E: Please List the Material Involved in Your Claim: (Ship Material Pre-Paid Only)
QTY
PART NUMBER
DESCRIPTION
REPLACEMENT ORDER
SECTION F:
For
Red Seal Measurement
Use ONLY
DATE: _____________________ Value of Material : $ _______________
Authorized by (Up to $2,500):
____________________________________________
Credit Returns $2,500 – Customer Service Mgr. ____________________________________________
Credit Returns $10,000 – General Mgr.
____________________________________________
Credit Returns
$10,000 – Controller
____________________________________________
Содержание Datamate 2200
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