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RMA
RMA for Service & Calibration
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Products
Each instrument requires it's own RMA
* Indicates mandatory fields
Instrument:
*
Other:
Serial Number:
*
None
BSR-9
BSR-100
LRS-455
LRS-462
LS-65
LS-100
PR-500
PR-504
PR-505
PR-514
PR-515
PR-520
PR-521
PR-524
PR-525
PR-550
PR-570
PR-630
PR-640
PR-645
PR-650
PR-655
PR-670
PR-680
PR-680L
PR-701
PR-704
PR-705
PR-714
PR-715
PR-730
PR-735
PR-805
PR-810
PR-810L
PR-880
PR-905
PR-920
PR-1500
PR-1530AR
PR-1600
PR-1605
PR-1980A
PR-1980B
PR-2301
PR-2302
PR-2303
PR-2304
UBD
WC-80
WC-100
WC-714
WC-715
WC-730
WC-735
Other
Optical Head Serial Number:
(
*
for LRS-455, LRS-462, PR-1980A And PR-1980B)
Reason for RMA:
*
Calibration Only
Calibration & Repairs
Repairs Only (Customer will calibrate)
(Standard NIST Traceable)
(Standard NIST Traceable)
Special Calibration or Documentation
(Extra Charges Apply)
(Please fill in requirements -
*
for special calibration or documentation)
List accessories that require calibration with the instrument:
*
None
Describe Problems:
*
None
Preventive Maintainance (PM)? ($250.00 only if work is not approved)
Yes
No
Check Shutter Operation for wear and tear? ($250.00)
Yes
No
Check/Clean Optical Filters & Sensor? ($250.00 - Recommended once in 2 years)
Yes
No
Do you have a service contract?
Yes
No
Do you have a calibration contract?
Yes
No
Do you want to upgrade the firmware to the latest version?
Yes
No
Do you want to upgrade the hardware & electronics to the latest version?
Yes
No
Provide quotation to add USB Port?
Yes
No
Shipping Instructions - From Photo Research Back to Customer
Domestic (USA)
Method
International
Method
None
Ground
2nd Day Air
Next Day Air
None
Standard
Expedited
Pre-Pay & Add
Collect
Carrier:
Other:
Best Way
UPS
DHL
FedEx
Other
Account #:
Freight Insurance:
*
Yes
No
Special Shipping Instructions:
*
None
Do you require expedited service?
*
(50% above standard charges)
Yes
No
Pre-approval
*
(Faster turnaround)
Yes
No
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)
Yes
No
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
*
On Account
Credit Card
L/C
Wire Transfer
Pre-Paid (Check)
User Information
First Name
*
Last Name
*
Company/Institution
*
Phone #
*
Fax #
*
ext
Email Address
*
Buyer Information
Buyer Information is the same as User Information
First Name
*
Last Name
*
Company/Institution
*
Phone #
*
Fax #
*
ext
Email Address
*
Billing Address
Street
*
City
*
State/Province
*
Zip/Postal Code
*
Country
*
Shipping Address
Shipping Address is the same as Billing Address
Street
*
City
*
State/Province
*
Zip/Postal Code
*
Country
*