Each instrument requires it's own RMA


* Indicates mandatory fields
Instrument: * Other: Serial Number: *
Optical Head Serial Number: (*for LRS-455, LRS-462, PR-1980A And PR-1980B)
Reason for RMA: *
(Standard NIST Traceable)
(Standard NIST Traceable)
(Extra Charges Apply)
(Please fill in requirements - * for special calibration or documentation)
List accessories that require calibration with the instrument: *
Describe Problems: *
Preventive Maintainance (PM)? ($250.00 only if work is not approved)
Check Shutter Operation for wear and tear? ($250.00)
Check/Clean Optical Filters & Sensor? ($250.00 - Recommended once in 2 years)
Do you have a service contract?
Do you have a calibration contract?
Do you want to upgrade the firmware to the latest version?
Do you want to upgrade the hardware & electronics to the latest version?
Provide quotation to add USB Port?
Shipping Instructions - From Photo Research Back to Customer
Method Method

Carrier: Other:
Account #:

Freight Insurance: *
Special Shipping Instructions: *
Do you require expedited service?* (50% above standard charges)
Pre-approval * (Faster turnaround)
I pre-approve expedited repairs and calibrations for the above instrument not to exceed $. I certify that I am authorized to make this pre-approval and will make sure all charges up to the not-to-exceed amount will be paid.
Purchase Order Number *
Resale/Tax Exempt * (For California Shipping Addresses Only)
If Resale/Tax Exempt please fill out the PDF Resale form available here and send it to...

Fax: (818) 725-9770
-OR-
Email: service.pr@photoresearch.com
Payment Terms *
User Information
First Name * Last Name *
Company/Institution *
Phone # *     Fax # *
ext
Email Address *
Buyer Information
First Name * Last Name *
Company/Institution *
Phone # *     Fax # *
ext
Email Address *
Billing Address
Street *
City * State/Province * Zip/Postal Code *
Country *
Shipping Address
Street *
City * State/Province * Zip/Postal Code *
Country *