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RMA
RMA for Service & Calibration
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Products
* Indicates mandatory fields
Instrument:
*
Other:
Serial Number:
*
None
PR-1980A
PR-1980B
PR-1500
PR-1530AR
PR-1600
PR-2301
PR-2302
PR-2303
PR-2304
PR-500
PR-504
PR-505
PR-514
PR-515
PR-520
PR-521
PR-524
PR-525
PR-550
PR-570
PR-640
PR-645
PR-650
PR-655
PR-670
PR-680
PR-805
PR-810
PR-810L
PR-880
PR-701
PR-704
PR-714
PR-705
PR-715
PR-900
PR-920
PR-905
LRS-455
LRS-462
LS-100
WC-80
WC-100
WC-714
WC-715
Other
Optical Head Serial Number:
(
*
for LRS-455 and LRS-462)
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 require expedited service? (Extra charges apply)
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
Purchase Order Number
(If Available)
Payment Terms
*
On Account
Credit Card
L/C
Wire Transfer
Pre-Paid
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
*
Copyright 2007 Photo Research, Inc. All rights reserved.
