RMA Request Form- Valves, Temposonics, and Balluffs
Please fill out this form to request a Return Merchandise Authorization (RMA) number for repairs.
Contact Info
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Item/Repair Info
Item Needing Repair:
*
Please Select
Servo Valve
Proportional Valve
Temposonic/Balluff Linear Transducer
Other
Other- Please Specify.
*
Model Number
*
Serial Number
*
Sending in for:
*
Evaluation
Repair
Replacement
Other
Please provide a detailed description of the issue you're having.
Add a second item?
Yes
Item Needing Repair:
*
Please Select
Servo Valve
Proportional Valve
Temposonic/Balluff Linear Transducer
Other
Other- Please Specify.
*
Model Number
*
Serial Number
*
Sending in for:
*
Evaluation
Repair
Replacement
Other
Please provide a detailed description of the issue you're having.
Add a third item?
Yes
Item Needing Repair:
*
Please Select
Servo Valve
Proportional Valve
Temposonic/Balluff Linear Transducer
Other
Other- Please Specify.
*
Model Number
*
Serial Number
*
Sending in for:
*
Evaluation
Repair
Replacement
Other
Please provide a detailed description of the issue you're having.
Add a fourth item?
Yes
Item Needing Repair:
*
Please Select
Servo Valve
Proportional Valve
Temposonic/Balluff Linear Transducer
Other
Other- Please Specify.
*
Model Number
*
Serial Number
*
Sending in for:
*
Evaluation
Repair
Replacement
Other
Please provide a detailed description of the issue you're having.
Add a fifth item? (max.)
Yes
Item Needing Repair:
*
Please Select
Servo Valve
Proportional Valve
Temposonic/Balluff Linear Transducer
Other
Other- Please Specify.
*
Model Number
*
Serial Number
*
Sending in for:
*
Evaluation
Repair
Replacement
Other
Please provide a detailed description of the issue you're having.
Submit
Should be Empty: