RMA Request Form

Complete the form below to be contacted by a Tri-Phase representative concerning return requests.

Basic Information

Company Name *
Contact Person *
Return PO Number *
Telephone Number *
Fax Number *
Email Address *

Note Return PO Number must be provided in order to process your request.

Return Items

Manufacturer *
Part Number *
Date Code
Serial Number *
Original PO Number
Quantity *
Warranty Claim
Repair Request
 

Note Original PO Number must be provided in order to process your request.

Reason for Return

Describe the problem in as much detail as possible. *

Note Reason for Return must be provided in order to process your request.

Please fill in the security word before submitting.



Send RequestClear

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