Dytran Instruments, Inc. requires that you fill out all the information above to the best of your knowledge in order to insure your RMA request can be completed in a timely manner. Please contact service@dytran.com or call 818-700-7818 if you have any further questions.

If you are requesting to submit an item for evaluation, please prepare a zero dollar PO for processing.

* Required
PO #:*
Company Name:*
Address:*
Contact:*
Phone:
EXT:
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RETURN SHIPPING INSTRUCTIONS:

   UPS
 
 
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  Other:
  Pre-Pay & Add
 
 
  Collect Account # :
Shipping Method :
  1Day      2Day      3Day       Ground
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  Recalibration      Repair      Evaluation      Credit   
 
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