Request Return Authorization

Parts to Return

Enter product serial number.

Problem Description

Please provide as much detail as possible. If any troubleshooting steps were taken, please list them here. For product returns, include the purchase order or invoice number and note that a 20% restocking fee applies.

Details of the problem, including any troubleshooting steps.

Did you default the unit to factory settings?

Yes

Customer Contact

Provide the contact information for the primary contact. For returns, this person will receive information regarding the restocking fee and credit. For repairs, this person will receive the service estimate and will be contacted with any follow-up questions.

Contact Name *

Customer ID

PolyScience customer number

Phone *

Email *

Fax

Billing Address

Country

First name *

Last name *

Company

Address 1 *

Address 2

City *

State *

ZIP code *

Shipping Address

Country

First name *

Last name *

Company

Address 1 *

Address 2

City *

State *

ZIP code *

Return Shipping

Shipping

Ship freight prepaid/added to repair charges.

Ship freight collect to your account.

Carrier

Account Number

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

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