RMA Request

* Denotes a Required Field
View our Service and Support Price List

Product Information – If sending in multiple units only One (1) RMA number per box is needed

Model*

Note: If your product is not listed please call us at +1-763-746-8034

Serial Number (all components must have matching serial numbers or additional charges may apply)*

Please enter a brief explanation for the return of the product *

Payment Terms *

Purchase Order Number

Compliance Documentation:
Certification of Compliance provides ‘as found’ and ‘as left’ certification results

Need a “Loaner” Unit?

How should we ship your unit back to you?

Carrier*

Service*

Shipping Account

Shipping Account Billing Postal Code

Customer Information (this is where the unit will be shipped after the service work)

Company *

First Name *

Last Name *

Address *

Address 2

City *

Country *

State/Province*(US & Canada Residents only)

Zip/Postal Code *

Phone *

Email Address *

Billing Information (LEAVE BLANK if it is the same as the Ship To address)

Company *

First Name *

Last Name *

Address *

Address 2

City *

Country *

State/Province (US & Canada Residents only)

Zip/Postal Code *

Would you like to receive our E-Newsletter?

No
Yes

Would also like to receive the equipment mailing instructions for this RMA by email?

No
Yes

To help reduce the amount of computer generated spam,
Please answer the following question: What is 2 + 2 ?

NOTE: After clicking the Submit button below, your RMA number and shipping instructions will be immediately displayed. You will also receive an email with this information if you selected “Yes” on that option above.

Please add sales@rjs1.com to your safe senders list.

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