Return Material Authorization (RMA) Form
Click here to view instructions for filling out RMA form
RMA #
DATE:
Leave Blank
(MTI customer support representative will provide you with this
number upon submitting this form to us)
USE THIS SECTION FOR PRODUCTS THAT REQUIRE
TEST AND CALIBRATION* ONLY
Select Product
Enter Serial #
Amount
Choose Product for Calibration
$0.00
USE THIS SECTION FOR PRODUCTS THAT REQUIRE
REPAIR (TEST AND CALIBRATION INCLUDED)
Select Product
Enter Serial #
Amount
Choose Product for Repair
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Select Cable(s)/Probe(s)
Choose Probes or Cable
$0.00
$0.00
0
$0.00
0
$0.00
Call MTI Instruments for pricing of Repair (Test
and Calibration included) for the following items:
Model #
Select Cable(s)
Select Cable
Quantity
Quantity
Quantity
0
$0.00
Quantity
0
$0.00
*CALIBRATION includes before and after data
and calibration certificate
$0.00
Total Test & Calibration Only
Select Turn-around Time Required
✘
Enter amount quoted by
MTI representative:
Total Repair +Test & Calibration
Standard (8-10 working days)
Your Company Purchase Order (PO) for this amount
Serial #
Proforma 200SA
Proforma 300SA
$0.00
$0.00
Expedited (5-7 working days add'l 25%)
PO #
- Please attach a copy of your Company PO together with this form
- If you prefer paying with a credit card, you can contact MTI Instruments or an MTI representative will contact you for your
credit card information.
Please describe the reason for equipment return. Include a description of failure mode and failure conditions.
Rev. 1.9.01.06.16
Return Material Authorization (RMA) Form
RMA #
DATE:
Leave Blank
(MTI customer support representative will provide you with this
number upon submitting this form to us)
Return Shipping Information
Same as Customer Information
Customer Information
First Name
Last Name
Company Name
Street Address 1
Street Address2
City
State
Zip Code
Country
Phone Number
Email Address
First Name
Last Name
Company Name
Street Address 1
Street Address2
City
State
Zip Code
Country
Phone Number
Email Address
Choose Carrier and type of shipment
Others (Carrier Name)
Enter Shipping Account Number
TERMS AND CONDITIONS:
- MTII's standard warranty is 12 months from original shipping date of new product.
- Repair warranty is 30 days regarding its repair portion.
- Typical repair time is less than 30 days from receipt of product.
- Payment terms, subject to credit approval, are NET 30 days from date of shipment.
- Customer is responsible for all out of warranty repair costs including shipping, taxes and any charges.
- Customer is responsible for shipping costs.
- Complete listing of MTII’s standard Terms and Conditions can be found at
http://www.mtiinstruments.com/contactus/salesandservice.aspx (direct link).
I Agree with the Terms and Conditions
SUBMIT
Click button to email this form
automatically
SAVE
Save file locally and send as
email attachment to
repairs@mtiinstruments.com
Rev. 1.9.01.06.16
Print this form only after MTI Instruments
returns this completed form (with RMA#)
to you.
1. Place page 1 & 2 inside the box of the
materials being returned.
2. Attach page 3 (RMA#) on both sides of the
PRINT
MTI Instruments, Inc.
325 Washington Ave. Extension
Albany, NY 12205
outside box
3. Ship box to MTI Instruments.
RMA#
Leave Blank
RMA#
Leave Blank
Rev. 1.9.01.06.16