RMA Return Material Authorization (RMA) Please complete this form and send it along with the item(s) being returned to: Guth Laboratories Inc. 590 North 67th Street Harrisburg, PA 17111-4511 U.S.A. If you are sending an item for repair or return: Please enclose receipt of this completed form with the item, required for the repair process. When possible ship items in their original shipping container. Print and Complete Form Offline Contact Information Name Company Phone Number Fax Number Email Billing Information Company Phone Number Street Address City State Zip Shipping Information Company Phone Number Street Address City State Zip All repairs are returned via ground service unless otherwise requested. If you would like a faster return method please select an option below. Your account will be billed accordingly. Shipping Service Next Day2nd DayGround Guth Laboratories, Inc reserves the right to return the instrument unrepaired along with an invoice for 1 hour labor per unit, plus all shipping charges if we do not receive a response within 15 days of the e-mailed / faxed estimate. A 1 hour evaluation fee will apply to estimates which are not repaired. Instruments Please enter the Instrument Model, Serial Number and Reason for Return for each item being sent for repair. Instrument Model Serial # Shipping Service ReturnRepair Detailed Description of Problem Authorization I Authorize Repairs Up To: All125200300Other If other please specify Payment Method Open AccountCOD / Credit CardOther If other please specify Authorized By: Name Title Date