RMA

Contact Information

Name:*

Company:

Phone Number:

Fax Number:

E-mail Address:*

Billing Information

Company:

Phone Number:

Fax Number:

Street Address:

City:

State:

Zip:

Shipping Information

Company:

Phone Number:

Fax Number:

Street Address:

City:

State:

Zip:

All repairs are returned via ground service unless otherwise requested. If you would like a faster return method please select an option below. Your account will be billed accordingly.

Next Day
2nd Day
Ground

Guth Laboratories, Inc reserves the right to return the instrument unrepaired along with an invoice for 1 hour labor per unit, plus all shipping charges if we do not receive a response within 15 days of the e-mailed / faxed estimate.

An 1 hour evaluation fee will apply to estimates which are not repaired.

Instruments

Please enter the Instrument Model, Serial Number and Reason for Return for each item being sent for repair.

Instrument Model:

Serial:

Return or Repair:

Return

Repair

Detailed Description of Problem:*

Authorization

I Authorize Repairs Up To:

All
$125
$200
$300
Not at this time. Please send estimate before repairs are made. An estimate may cause delays in service.
Other

If other please specify:

Payment:

Open Account
COD / Credit Card

If other please specify:

Authorized By:

Name:

Title:

Date:

Print and Submit

Please keep this information for your records, print, and enclose receipt of this completed form along with the item(s) being returned.

Return Material Authorization (RMA)

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