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5.4
Return Material Authorization
th
501 90
Avenue N.W.
Minneapolis, MN 55433
12/9/2008
Dear Customer,
Thank you for using our in-house repair service. To expedite your repair, control costs, and ensure that safety requirements are met please
follow these simple steps.
1.
Send in a copy of this completed form with a copy of your PO to the fax or email listed above. An RMA will not be issued without a
hard copy PO on file.
2.
Once an RMA has been issued, you will be sent a shipping label noting your RMA number and the address to ship the parts back to.
The assigned RMA number is valid for 30 days from the date of issuance. If your part(s) is not received within 30 days, your PO will
be cancelled and a new RMA will be required. All parts for repair MUST reference a valid RMA number or the part will be returned
at your cost.
3.
Please do not ship partial shipments. Your return must be complete. Any parts received separately will require a separate RMA
and PO. Return only those products which are authorized by the RMA. Additional products that are sent without approval may be
returned to you.
4.
If a product is determined to be a "no defect found" then an evaluation fee of $250.00 per part ($500.00 per full system) sent in will
be charged.
Thank you for giving Thermo Fisher Scientific the opportunity to satisfy your service needs. You can contact me by sending an e-mail to
__________________________________ or by calling 1-800-445-3503.
Note: Thermo Fisher Scientific safety policy requires a decontamination form for any package being received into our building. Please
complete the following paperwork and send it to the fax or email noted above. Failure to do so will cause delays. If the unit is not
decontaminated as required, there will be a $300.00 minimum charge.
CONTACT INFORMATION
Contact Name:
______________________________________
Phone Number:
__________________
Fax Number:
___________________
Email:
_______________________________
SHIPPING INFORMATION
Company Name:
____________________________________________________
Address:
__________________________________________________________
City:
_______________________ State:
BILLING INFORMATION (If different from above):
Company Name:
__________________________________________________________
Address:
_________________________________________________________________
City:
__________________________
A/P Contact Name:
________________________
Phone Number:
_________________
Fax Number:
___________________
Email:
__________________________________
TAX EXEMPT:
Yes
PAYMENT INFORMATION (Choose One):
Credit Card (If you wish to pay via credit card, please call 800-227-8891, opt.2. In order to protect our customers from accidental data
compromise, Thermo Fisher Scientific dba Thermo Ramsey Inc does not accept credit card numbers via email or fax.)
Purchase Order (If you wish to pay via PO, please send an official hard copy PO with this form)
PO Number:
__________________
Warranty (All warranties need to be pre-approved by our tech support representatives prior to an RMA being issued. If this box is
checked then a tech support rep will be contacting you shortly)
REC 3016 Rev M
Return Material Authorization (RMA) Form
__________
State:
No
Zip:
_____
__________
Zip:
___________
1-800-445-3503
Fax: 763.783.2525
www.thermo.com
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