FSCM 09049

RMA Industrial

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RMA FOR INDUSTRIAL PRODUCT

Please complete form below. After submitting your request, this information will receive our immediate attention.

Company Name:

Contact:

Address:

State:

ZIP Code/Province:

Country:

Phone:

Fax:

E-mail address:

To Custom Control Sensors Industrial Sales Department

CCS Model:

Serial Number: (If applicable)
Purchase Order Number:

Reason for Return:

A: Settings Out of Tolerance:

B: Electrical Failure (fails to open or close, dielectric ,I/R,  etc)
C: Mechanical – Out of tolerance/Damage
D: Leak in Diaphragm or Piston
E: Return for Credit
F: Identification/Marking
G: Other – Please specify

 

Custom Control Sensors, Inc.
21111 Plummer Street, Chatsworth CA 91311 Ph: (818) 341-4610; Fax: (818) 709-0426
Last Updated on  09/01/2006