Return Material Authorization (RMA)

Dealer: Name *

Have your regional manager been informed of this RMA? *

Dealer: Address *

Dealer: City *

Dealer: State/Province *

Dealer: Country *

Dealer Zip/Area Code *

Dealer: e-mail *

Dealer: Phone Number *

Department: Name *

Department: Contact Name - Customer *

Department: Address *

Department: City *

Department: State/Province

Department: Country *

Department: Zip/Area Code *

Department: e-mail *

Department: Phone Number *

Type Of Return *

Return To: *

Item Description / Model Number: *

Serial Number *

Reason For Return: *

Replace Decals? (This is NOT covered under warranty and customer will be invoiced for.) *

Replace Dust Covers? (This is NOT covered under warranty and customer will be invoiced for.) *

Replace Pig Tails? (This is NOT covered under warranty and customer will be invoiced for.) *

Regrind blades? *

Service tool? (This is NOT covered under warranty and customer will be invoiced for.) *

2 + 5 = ?Please prove that you are human by solving the equation *

Shipping Instructions

1) Ensure RMA No. is clearly visible on the outside of each box.

2) Ship only items with authorization; including a copy of the RMA form.

3) Return to:

TNT RESCUE SYSTEMS INC.

N77W30924 Hartman CT

Hartland, WI 53029

NOTE: REMOVE ALL GAS AND OIL FROM PUMPS