Returns & Repairs Please fill out the form below to begin the return or repair process for a component purchased from Power/mation. “*” indicates a required field. Today's Date* Date Format: MM slash DD slash YYYY Customer Contact InformationName* First Last Company*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Reason for Request (Select One)*CreditRepairOtherPlease explain if you selected "Other":*Items to Return or Repair Quantity Part Number Serial Number/Date Code Manufacturer Original Customer PO Number Edit Delete There are no Items. Add Item Maximum number of items reached. Attachment Upload Drop files here or Accepted file types: pdf, doc, jpeg, jpg, gif, png, csv, xls, xlsx. Upload a document or photo to help us process your return or repair request.Additional CommentsTerms of Agreement*Please Note: Product being returned for credit must be in new and resellable condition, unmarked and in the original sealed packaging. All returns are subject to incoming inspection and credit/warranty determination is based on this evaluation. Returns may be subject to restocking fees. Please check this box to acknowledge the above terms.CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.