Rma Form - K-TEK MS30 Installation & Operation Manual

10.0 RMA Form

*** IMPORTANT CUSTOMER NOTICE: PLEASE READ PRIOR TO RETURNING PRODUCTS TO K-TEK***
Be sure to include the Return Authorization (RA) number on the shipping label or package to the attention: Customer Service. A
copy of this document should also be included with the packing list. K-TEK wants to maintain a safe work environment for its em-
ployees. In the event, the returned product or material has been in contact with a potentially hazardous chemical, per federal regu-
lations, the customer must provide evidence of decontamination and the related chemical composition and characteristics. In order
to expedite your return, please include the applicable Material Safety Data Sheets (MSDS) and decontamination tags by affixing
these documents in close proximity to the shipment label for identification purposes. (January 18, 2006)
Return Authorization Form
Customer:
Contact Name:
Contact Email:
Contact Phone:
Contact Fax:
Completed by Customer
Reason
Problem Found: None
Action: None
Requested:
Is expedited return shipping requested?
If yes, please provide a purchase order or your shipper's account number (ex. FedEx or UPS). K-TEK pays return transport via
standard ground shipments only.
If purchase order is issued, a copy of purchase order must be included with return documentation.
Is K-TEK authorized to repair items determined to be non-warranty?
If yes, a copy of purchase order must be included with return documentation.
Customer PO:
Has product been in contact with any potentially hazardous chemical?
If yes, documentation product and forward MSDS to K-TEK, "ATTN: Customer Service"
Return Repaired Product to Address
Shipping Address:
MS30-0200-1 Rev d (10-2010)
K-TEK
18321 Swamp Road
Prairieville, LA 70769
Phone: +1 (225) 673-6100
Fax: +1 (225) 673-2525
Email: service@ktekcorp.com
Toll Free: (800) 735-5835
Date:
DCN0530
Date:
Product:
Serial No:
Job No:
Service Rep:
□
Yes
□
Yes
Account #:
□
Yes
Billing Address:
Ship Via:
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