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   Return Material Authorization (RMA) Request
   (Hydro-Aire & PL Porter Customers only)

Please complete the form below (*entries are required).

1. Your Contact Information

Your Name*

Your email*

Telephone*

2. Company Information

Company*

 

  Bill To*

 Ship To

Address

City

 

State

  

Postal Code

 

Country

 

3. Return Request Information

 
Customer PO or
Repair Order No.*		  
Corrective Action Required* Yes  No
Type of Return*  
 Reason for Return*  
Qty* Part No.* Part Name Serial No.
(as applicable)		 Mfg
Date		 Lot
No.		 In Warranty?
YesNo
YesNo
YesNo

4. Ship-To Address
Hydro-Aire / PL Porter
3000 Winona Avenue
Burbank, CA 91504
Attention: R&O Department

 

 

 

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