Thermotek, Inc.

RMA REQUEST

In order to receive your RMA number in a timely manner, please fill out the form below with as much information as possible.

If you wish, you can request an RMA by fax.
Select the file type you would like below for a printable version of this form.
Click here for MS Word docx file or Click here for Adobe PDF file.

Required items are marked with a red asterisk. *

Company & Billing Information
Company:

*Bill To:

*Bill To Phone:

*Ship To Address:

*City:

*State:

*Zip Code:

Country:

Ship To Phone:

Purchase Order:

Unit Information
*Model:

*Serial Number:
(found on back plate of unit)

*Describe Problem:

Contact Person
*Name:

*Phone:

Fax:

*E-mail:

[^ Return to top]