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RMA Request Form

General information:
*required fields
Technical contact (customer):
Commercial contact (customer):
*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:

Technical contact (customer):
Technical contact name (Technician, involved in troubleshooting):
Technical contact phone:
Technical contact E-mail:
Technical contact Fax:

Commercial contact (customer):
Commercial contact name (e.g. from Purchase. Quality. Logistics):
Commercial contact phone:
Commercial contact E-mail:
Commercial contact Fax:

Item for return:
1
Item-No.:
Item name *:
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:
I agree to the Privacy Policy*
I have read the general RMA information*

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