Fillable Return of Material Authorization Form (RMA)

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Return of Material Authorization Form (RMA)

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The Return of Material Authorization Form (RMA) form is 1 page long and contains:

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Valley Forge Corporate Center | 2621 Van Buren Ave., Norristown, PA 19403
Customer Service: 1 (800)-723-2861 Ex. 8578 / VFCustomerSupport@megger.com
Return of Material Authorization Form (RMA)
*All fields must be completed in order to obtain an RMA#*
Customer Information
Company Name:
Date:
Sold To Address:
City:
State:
Zip:
Country:
Contact Name:
Email:
Payment & Shipping Information
Bill To Address:
City:
State:
Zip:
Country:
Payment Method: PO#: Taxable? YES NO (If NO, please send tax cert.)
Ship To Address:
City:
State:
Zip:
Country:
Shipment Charges: Prepay (PPD) Prepay & Add (PPA) Collect (Must have Acct. #)
Shipping Carrier:
Shipping Acct #:
Product Information
Model #:
Serial #:
Catalog #:
Service Requested: Repair & Standard Calibration Standard Calibration
NO
Would you like a Calibration Certificate traceable to NIST for an additional fee? YES
(As Received / As Shipped data will be provided so long as the instrument is capable upon receipt)
Expedite Repair?
YES NO
(Please note labor rates will be increased)
New Warranty?
YES NO (Please provide Proof of Purchase)
Repair Service Warranty?
YES NO Previous RA#:
Please describe any issues you are experiencing:
Technical Contact Name: Phone#: Email:
For completion by Megger employee
RMA#:
Megger Employee Only
Customer#:
Megger Employee Only
IMPORTANT:
• Repair Service Warranty- Megger guarantees to correct by repair, or replacement (at our option) any defects of material or workmanship
which
may develop under normal and proper use within (90) days of the calibration date pending inspection of the instrument.
• Any unauthorized attempts to repair this instrument will void the (90) day service warranty.
• Please be sure to include all test leads, batteries, and accessories with the unit.
• Please ensure all instruments are well packed to avoid additional damage.
• An evaluation fee will be charged for unapproved repair quotations.
• All units sent to Megger for service receive Standard Calibration before return.
11/05/2015
*In order to obtain a RMA; all purchase order (hard copy with Net 30 terms & Tax Cert) must reflect the amount specified in
the original NTE Letter and NET 30 (no purchase orders should reflect or be accepted with the amount of the evaluation fee
or a value of zero dollars).* Unless you are using a credit card.
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Return of Material Authorization Form (RMA)

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Completed 8 October 2020

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