Warranty / Repair and Service Form

PEMF Received date

MonthDayYear
Date
Return Ship Date

MonthDayYear
For Factory Use Only
Return Tracking #
For Factory Use Only
Warranty / Repair Form

Please review all shipping requirements!
RMA #
Will be provided by factory after submission

Your Information
Name*

First NameLast Name
Phone Number*
E-mail*
Address where you want device returned

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Shipping your device
How you plan on shipping your device: *
Please indicate which carrier you will use
Returning YOUR device from the repair facility there are several options as follows:
1. The factory will ship your repaired device, via UPS - select the level of service below.
2. You may provide the repair facility with a return label as follows:
  - Email the factory at support@pemfsystems.com and request the weight and dimensions of the shipping box for the repaired device.
  - Using the weight and dimensions create a PDF of the shipping label. The "Ship From" address is the same Van Nuys address you are shipping your device to.
  - Email the label to support@pemfsystems.com with the RMA number in the Subject line.
Return the device using*

Fedex GroundFedex 2nd DayFedex OvenightUPS GroundUPS 2nd DayUPS OvernightI will send a shipping label
➠ ALERT!

You have selected a more expensive Return Service, other than UPS Ground.

Magnus Pro PEMF Devices: The repair facility's Support Dept must be called at 818.267.0095, prior to the shipment being returned, in order to re-confirm you actually want the higher level of UPS Return Service.

If the repair facility does not hear from you, your repaired device will be returned, via {whenThe}

Insurance for the return delivery
Do you want the repair facility to add insurance on the return of your repaired device?*

YesNo
You answered "YES" ...and

Be advised that hundreds of PEMF devices are shipped from the repair facility every month, with no loss or damage. However, the repair facility will insure all new and repaired outgoing PEMF devices for $2500, not their full value.

You choice for additional insurance is strictly personal. Below, enter how much coverage you want. The cost is generally 10% of the amount entered, in addtion to the actual return shipping fee(s).
Amount to insure my device for its return

Out of Warranty or Return Shipping Fee Payment
The Factory will send you a form to process a pre-authorization your Credit Card for all Warrantied and Non-Warrantied repairs. If you have a a shipping account, please provide the account number for the return shipping costs.

NOTICE: Recalled Products do not require a credit card.

All other warranty or repair transactions will not be processed without a credit card. If your PEMF device's repairs are completed under the Standard Warranty terms and you have provided a return shipper account number, the credit card below with NOT be used., otherwise the credit card will be used for Return Shipping Fees.

Please be advised, an Authorization will appear on your card as follows:
- $250.00 - tentative Return Shipping Fees (most likely less)
- $250.00 -$3,000 - tentative Out of Warranty Repair Charges
When the transportation and/or repair charges are invoiced, the required pre-authorization will insure the actual credit card charge will not be declined.

Important: If the charges for out of Warranty Repair is less than $260 the factory will not seek approval nor send a repair estimate. They will simple repair and ship back and charge your card for the repair and shipping fee.
Method of payment*

AMEXMastercardVisaOther
Credit Card Numbers
Do not use dashes or spaces between numbers. For device repairs, any charges will appear on your statement as PEMF Systems, Inc)
I need a Loaner while my device is being serviced

YesNo
Enter any Additional Notes or Questions here

For Repairs Shipping from outside the USA
Factory Authorization and Client Services Terms and Conditions:

I authorize PEMF Systems and its affiliates to service and/or repair my PEMF device and/or accessories.

I understand that I am responsible for the cost of shipping both to and from PEMF Systems and that all payments must be made prior to the shipment being returned.

PEMF Systems offers a three (3) year limited warranty on all of their devices. Warranty commences on the original ship date from PEMF Systems.

Billing: Once your repair is complete, PEMF Systems will send an email to the email address provided above with a secure payment link to pay for your repair (if not under warranty) plus shipping charges.
Please use Tariff code 9801.00.1012.

1. Declared and customs value at $1.00 as it's a repair.

2. Include the description "NOT SOLD (COMMERCIAL) Warranty Repair Pulse Generator, or Exercise Equipment.”r

Regarding potential issues around USA or Canadian Custom Inspections, please include inside the package a note that says:
- Your name: {name}
- The RMA # below
- The Device's Serial #: {serialNumber41}
- Basic Reason for the repair: {input15}
- Your return shipping address: {addressWhere}

Warranty / Repair Form