Request RMA

Applied Physics Systems - RMA Request Form (NON RENTAL EQUIPMENT)

RMA # Will be emailed to you after you submit the form.

Email(Required)

Contact Name for RMA(Required)

Contact Name for RMA First and the Last name (Required)

First Last

Company(Required)

Phone(Required)

Customer PO Number (if available)

SOLD TO:

Company Name

Name

Attn: First Name

First Last

Sold to Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

BILL TO:

Complete Only If different than Sold To address listed above

Company Name

Name

Attn: First Name

First Last

Bill to Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SHIP TO:

Complete Only If different than Bill To address listed above

Company Name

Name

First Last

Ship to Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Serial Number

Part Description / APS PN#(Required)

Reason For Return(Required)

Quote/Authorization Required Before Repair Work

Ship Method(Required)

Which Incident Logs will you send APS?(Required)

Detect Log

Dipole Log

Config Log

Additional

Contact person for RMA Logs(Required)

File

Max. file size: 256 MB.

File

Max. file size: 256 MB.

File

Max. file size: 256 MB.

File

Max. file size: 256 MB.