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RMA Request Form

General information:
*required fields
Shipment method*
Technical contact:
*required fields
Item for return:
*required fields
1
Contaminations *


Contamination declaration:
*required fields YES   NO
Are all contaminated goods cleaned?*
Is residual contaminations possible?*
General information:
Customer ID:
Company:
Street/No:
ZIP Code:
City:
Shipment information:

Technical contact:
Name:
Phone:
E-mail:

Item for return:
1
Item:
Item-No.:
Serial number:
Reason for return:
Description:
Contaminations:

Contamination declaration: YES   NO
Are all contaminated goods cleaned?
Is residual contaminations possible?
Which substance was in contact with the LinMot parts?
Which cleaning agents were used?
Which cleaning method was used?
Attached files:
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I have read the general RMA information*

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