Service Return Form
NO RMA number is required Return equipment, billing information, and all correspondence to:
OHD,LLLP
2687 John Hawkins Parkway, Hoover AL 35244
Email: calibration@ohdglobal.com Phone: (888) 464-3872
Quantifit Serial #(s) __________________________________________________________________________
► List accessories included in shipment: (Required accessories notated with *)
Quantifit
❑ Tube Assembly* ❑ Trigger Button* ❑ Power Cord ❑ USB Cable
❑ Hard Case ❑ Keyboard ❑ Printer
❑ Adapters Kit #’s: _______________________________________________________________________
❑ Other: _______________________________________________________________________________
NOTE: We are not responsible for non-OHD accessories shipped with service units.
► Reason for return:
❑ Calibration ❑ Repair/Other ❑ Warranty
► Payment Information (This section must be completed in order for us to service your instrument):
❑ Purchase Order# _______________________________
(We require a hard copy of the Purchase Order) A hard copy has been: ❑ Emailed ❑ Enclosed
❑ Credit Card: Number: ________________________________________ Expiration (mo/yr): ________
CID:______ ZIP: __________
❑ Previously Purchased Maintenance Contract ❑ Warranty Repair
► Sales Tax Exemption Certificate with State Enclosed ❑ Yes ❑ No (we are not exempt from sales tax)
(Please ensure you complete the Payment Information section and Sales Tax Exemption Section)
► Describe any known problems: _______________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
❑ No (If Yes, additional charges will be applied…see quote options)
❑ No (If Yes, additional charges will be applied…see quote options)
► Before/After Data Needed? ❑ Yes
► Expedited (24hr) Service Needed? ❑ Yes
► For UPS pickup or a shipping label to send your units to us via our Round Trip Shipping program;
email this completed form and payment information to calibration@ohdglobal.com
Billing Address
Company Name: ______________________________________________
Address:
_________________________________________________________
City/State/Zip:
__________________________________________________
Contact Name:
_________________________________________________
Phone:
__________________________________________________________
Fax:
_____________________________________________________________
Email:
___________________________________________________________
Shipping Address: ( check here if same as billing
)
Company Name: _____________________________________________________
Address:
______________________________________________________________
City/State/Zip:
________________________________________________________
Contact Name:
_______________________________________________________
Phone:
________________________________________________________________
Fax:
___________________________________________________________________
Email:
_________________________________________________________________
- If sending unit in yourself, include a completed copy of this form with shipment
- If you utilized Round Trip Shipping, email copy to calibration@ohdglobal.com
