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Independent Technology Service Inc.

Your Fadal Machine Parts & Repair Depot

Call Us : 800-342-3475 (818-727-1500)



Return Material Authorization (RMA) Form

1. Bill to:

* Denotes required field

Date: May 27, 2017

ACCT# (If Known)
*Organization:
*Address:
*City:
*State:
*Postal Code:
*Country:
*Contact:
*Tel:
Fax:
*Email:
 

2. Ship to: Same as bill to

ACCT# (If Known)
Organization:
Address:
City:
State:
Postal Code:
Country:
Contact:
Tel:
Fax:
Email:
 

3. Product Return Details

*Reason For Return:
*Repair Service Requested:
Model/Part # Description Of Problem (Be Specific)
 

4. payment Method

Payment Method:
Note: If you choose to not repair your equipment or the product is "No Problem Found" you will be responsible for an evaluation fee. If you have terms with us please send a copy of the PO.
 

5. Shipping Method

Return Ship: 1 day 2 day 3 day Ground
Via: UPS FedEx Other
Prepay/Add
Freight Collect
Charge Customer Account Number
   
 
 

6. Comments or Message