Emerson Machinery Health CSI 6500 Quick Start Manual page 4

RMA number issued by Product
Service Centre:
For all items being returned, please
list Model / Serial Number:
Are you under warranty or a current
support agreement (circle one)?
Yes No
If you answered no, what is your pur­
chase order number?
RMA Required Information
Company Name:
Contact Name:
Contact Address:
Contact Phone:
Contact Fax:
Contact Email:
Please describe the problem you are experiencing:
If we are to send the return shipment to someone other than the Contact
Name/Address above, please provide that address here, including Con­
tact Name and Phone Number:
Are there any special instructions regarding the return?
Please provide invoice address (if a purchase order was required):
Support customers - your instrument is shipped back to you the same way
that it is sent to our service center. For example, if you ship via ground
transportation, it is shipped back via ground.