Return Material Authorization (Rma) Form

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Replacement Policy: 
 
Products purchased through MTNW 
and under warranty* may be 
returned for replacement or repair by 
 
following these steps: 
MTNW Return Material Authorization (RMA) Form 
 
 
1.
Contact MTNW Customer 
Service at 206‐634‐1308 to 
Company:  _____________________  Contact Name: _________________________ 
obtain RMA Number. 
Address:  _____________________________________________________________ 
2.
Fill out the Return Material 
Authorization Form in its 
City:  _______________________ State:  _________  Zip: ______________________ 
entirety and place the RMA 
Email Address: _________________________________________________________ 
Form in the box with the 
item(s) being returned. 
Phone:  ____________________________   Fax:  _____________________________  
3.
Return the authorized items(s) 
per shipping instructions. 
 
4.
Our Replacement Department 
 
will process your request. 
 
RMA No: ______________________________ Date Issued: _____________________ 
RMA forms can be obtained by: 
(Obtained from MTNW Customer Service) 
‐Website: 
‐Contacting Customer Service at 206‐634‐
 
1308
*Under Warranty (Must provide original order number and date in order to verify warranty coverage). 
QTY 
PART NUMBER 
DESCRIPTION 
REASON FOR RETURN
SERIAL #
ORDER NUMBER 
ORDER DATE
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Sample Address Label with RMA number
Shipping Instructions: 
 
 
John Smith 
RMA# 123456 
 
XYZ Corp 
1.
The bottom of the original 
Measurement Technology NW 
123 Main Street 
packing slip contains MTNS’s 
 
ATTN: LCI Replacement Dept. 
th
4211 – 24
 Avenue West 
returns address. Use this 
 
Seattle, WA, 98199 
portion of the form to affix to 
USA
 
the box(s). 
2.
Be sure to obtain an RMA 
 
number and clearly mark the 
Use this space for additional comments: 
outside of the box(s) with this 
_____________________________________________________________________ 
number. 
3.
Ship only the items that are 
_____________________________________________________________________ 
authorized. 
_____________________________________________________________________ 
4.
Ship returned items to: 
_____________________________________________________________________ 
Measurement Technology NW 
ATTN: LCI Replacement Dept. 
Customer Signature: __________________________  Date: ____________________ 
th
4211 – 24
 Avenue West 
Return Approval: _____________________________  Date: ____________________ 
Seattle, WA, 98199 
USA 
 
 

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