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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 Information
Name*
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Company*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
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Reason for Request (Select One)*
Please explain if you selected "Other":*
Items to Return or Repair
Quantity Part Number Serial Number/Date Code Manufacturer Original Customer PO Number Actions
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Accepted file types: pdf, doc, jpeg, jpg, gif, png, csv, xls, xlsx.
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Additional Comments
Terms 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.
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St. Paul, MN 55108

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Quantity*
Part Number*
Serial Number/Date Code*
Manufacturer*
Original Customer PO Number*
Reason for Return or Repair*