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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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