RMA Request Form- Cylinders, Pumps and More
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.
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Item/Repair Info
Item Needing Repair:
*
Please Select
Cylinder
Rodless Cylinder
Rotary Actuator
Screwjack
Hydraulic Motor
Pump
Gearbox
Hydraulic Power Unit
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.
Upload attachments (photos, drawings, etc.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Add a second item?
Yes
Item Needing Repair:
*
Please Select
Cylinder
Rodless Cylinder
Rotary Actuator
Screwjack
Hydraulic Motor
Pump
Gearbox
Hydraulic Power Unit
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.
Upload attachments (photos, drawings, etc.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Add a third item?
Yes
Item Needing Repair:
*
Please Select
Cylinder
Rodless Cylinder
Rotary Actuator
Screwjack
Hydraulic Motor
Pump
Gearbox
Hydraulic Power Unit
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.
Upload attachments (photos, drawings, etc.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Add a fourth item?
Yes
Item Needing Repair:
*
Please Select
Cylinder
Rodless Cylinder
Rotary Actuator
Screwjack
Hydraulic Motor
Pump
Gearbox
Hydraulic Power Unit
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.
Upload attachments (photos, drawings, etc.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Add a fifth item? (max.)
Yes
Item Needing Repair:
*
Please Select
Cylinder
Rodless Cylinder
Rotary Actuator
Screwjack
Hydraulic Motor
Pump
Gearbox
Hydraulic Power Unit
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.
Upload attachments (photos, drawings, etc.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: