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RMA Request

 

Product returned to NOSHOK for any reason must have a NOSHOK issued Return Material Authorization (RMA) number.

Use this form by filling out as many fields as possible. Those fields marked with an * are required.

Upon submission of the completed form, we will review your request and, if accepted, will email you the Return Material Authorization (RMA) Acknowledgement. The RMA number found on the acknowledgement must be clearly visible on the outside of the package. The RMA Acknowledgement must also be included with the package showing the RMA number, part number, quantity, and reason for return.


Date Requested
* First Name
* Last Name
Title
* Company
* Address 1
Address 2
* City
State/Province (US/Canada/Puerto Rico)
State/Province (Elsewhere)
* Zip/Postal Code
* Country
* Phone
Fax
* Email

*Return Qty *Original PO # *NOSHOK Part Number Original Invoice #
*Reason for Return (i.e. Credit or Repair) Product Application
PRODUCT USAGE INFO
*Was product tested?  
*Media used in testing:
*Was product in service?  
IF THE PRODUCT WAS IN SERVICE
General description of problem:  
Is there visible damage to unit?  
Damage description:  
Is there pressure pulsation?  
What is the operating pressure?  
Is it static or dynamic?  
Process media that wetted parts
have been exposed to:
 
Temperature - Ambient:  
Temperature - Process:  
Has instrument been exposed to
vibration or shock?
 
Time in service:  
Any other details that may aid
in evaluation?
 
     

Product Return Address (if applicable)
* By checking this box, I agree to the terms and conditions mentioned in NOSHOK's Return Material Authorization (RMA) Policy. Any packages returned to NOSHOK that does not follow the policy are subject to rejection at the sender's expense.
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