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RMA Form

Accounts receivable number
Customer name/Company*
Street*
Zip Code*
Place*
Country/Region*
Name Contact person*
E-Mail*
Telephone number*
Cost estimate (lump sum)
Yes No
Cost estimate after viewing the devices
Yes No
Repair report required
Yes No
Loan return
Yes No
Delivery order number (only if loan return)
Notification*
Deviating delivery address
Nr Article number Serial number Repair + calibration Calibration
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