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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.



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