Qualitrol RMA Form

Fill out the information in the form below and we will be notified of your repair.

Once the page is complete, a packing slip will automatically be generated. Simply print and include the packing slip with the part(s) you would like to have repaired and send them to the address on the packing slip.

*Required Fields.

Billing and Handling
Payment Method	-- select one -- Credit Card - we will contact you Existing Net 30 Acct Other
PO Number	For Existing Net 30 Accounts Only
	Use address above as shipping address above
First Name	*
Last Name	*
Company	*
Address 1	*
Address 2
City	*
State/Province	*
Zip/Postal Code	*
Country	*
Phone	*
Fax	*
Email Address	*
	Contact me with pricing before repairing
	Please expedite repairs

All repairs include a one-year warranty.