Return Material Authorization (RMA) Form - Part 1

To request an RMA, please complete the form below then click the "Add a Product" button.

Note: Items that are covered under standard or extended warranty will receive priority processing and repair services. Items that are out-of-warranty will receive a quote for repair. Upon acceptance of the quote and issuance of a purchase order, the RMA will be processed.

*Asterisks () denote required fields.**
Company Information
*Company Name
*Contact Name
*Contact Email Address
*Contact Phone
*Ship to Address	Address Line1
*Ship to Address
	Address Line2

	Address Line3

City
City
State
State
Zip Code
Zip Code
Country
Country
Requestor Information (If different from above)
Your Name
Your Phone
Your Email Address

If you have trouble sending this form, email all the required information to info@prattandwhitney.com.

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Pratt & Whitney Measurement Systems, Inc.
66 Douglas Street, Bloomfield, CT 06002-3619
TEL: (860) 286-8181 or 1-800-371-7174
FAX: (860) 286-7878
Email: info@prattandwhitney.com
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