Return Merchandise Authorization Form

Return Merchandise Authorisation (RMA)

Please fill out all details in order to ensure timely processing. When shipping internationally please ship as a repair with zero cost.

Senders Details

Date(Required)

Purchase order for Repair(Required)

If no PO enter TBA.

Company/Organisation(Required)

Contact Person(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone

Item Details

Item Make & Model(Required)

Purchase Date of Instrument

Item Serial Number(Required)

Accessories Included (i.e. electrodes/cables.)(Required)

Item Fault Description (as much relevant information as possible)(Required)

Additional Information (replacement accessories or calibration request, urgency or return shipping details)(Required)

Declaration item is cleaned of Hazardous Substances

Has the instrument been in contact with any hazardous substances (chemical or biological)?(Required)

Please specify what substance and how the instrument was cleaned before sending. Costs will apply if item(s) are contaminated.

Signed

You will receive a pdf copy of this form when you press submit. Please print off the pdf and include when you send all goods to us. The address to send the goods is: ENVCO, 438B Rosebank Road, Avondale, Auckland 1026, Attn: Service.

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www.envcoglobal.com | info@envcoglobal.com | Phone NZ 0800 623 336 or +64 (09) 307 3285 | Fax +64 (09) 307 3287

Return Merchandise Authorisation (RMA)

Senders Details

Item Details

Declaration item is cleaned of Hazardous Substances

About us

SHOP AT ENVCO

ABOUT ENVCO

GET IN TOUCH

Return Merchandise Authorisation (RMA)

Senders Details

Item Details

Declaration item is cleaned of Hazardous Substances

About us

SHOP AT ENVCO

ABOUT ENVCO

GET IN TOUCH

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