UDT INSTRUMENTS RMA FORM
8581 Aero Drive
●
San Diego, CA 92123
Phone (858) 279-8035 Fax (858) 576-9286
http://www.udtinstruments.com
RMA REQUEST DATE _____________ RMA NUMBER _____________
(assigned by UDT)*
Please check appropriate box:
CALIBRATION
REPAIR
WARRANTY
BILL TO:
SHIP TO:
ATTN: ATTN:
Street Address
Street Address
City, State, Zip
City, State, Zip
E-Mail Address
Preferred Payment:
Visa
Master Card
Credit Card #
PHONE NUMBER
- -
FAX NUMBER
- -
NAME ON CREDIT CARD/EXP DATE
PO #
Please provide your shipping carrier, preferred method of shipment and shipping carrier account #
FEDEX
UPS
DHL
Other
__________________ Shipping Carrier Account # _________________
Method of Shipment (eg. Overnight, Next Day, 2
nd
Day, 3
rd
Day, Red, Blue, Orange, Ground)
__________________
QTY
INSTRUMENT DESCRIPTION
INST. SERIAL #
SENSOR DESCRIPTION
SENSOR SERIAL #
Electrical Calibration of all meters (REQUIRED)….. $100.00
DETAILED CALIBRATION INSTRUCTIONS
QTY
INSTRUMENT DESCRIPTION
INST. SERIAL #
SENSOR DESCRIPTION
SENSOR SERIAL #
Electrical Calibration all meters (REQUIRED)….. $100.00
DETAILED CALIBRATION INSTRUCTIONS
TOTAL ESTIMATE: ________________ US Dollars
If the unit is in need of repair, an evaluation fee of $1
75
.00 will apply. If the cost of the repair ex-
ceeds the evaluation fee, the customer will be notified for approval BEFORE any work is performed.
_____________________________ ____________________________ _______________
Tonda Arbaugh
Customer Approval Date
We would PREFER to use your shipping carrier when sending back your unit(s).
Otherwise, all orders will be shipped UPS Ground Pre-Paid and this fee will be
added to the invoice unless specified otherwise in the shipping carrier box above.
*RMA Numbers (upon issue from UDT Instruments) are valid for 60 calendar days!
Last updated
October 2007