Service Request Form

Please fill out this form completly or print and fill out a printable fax version so that we can give you an RMA number to send in with your unit.

* = Required Fields
C O N T A C T    I N F O R M A T I O N
*First Name:> *Last: CustID:
*Organization
*Phone: Fax: *Email:
*Shipping Address:
 
*City: State: *Zip: *Country:
Use same address for shipping and invoicing
Invoicing Address:
 
City: State: Zip: Country:


P R O D U C T    I N F O R M A T I O N

*Unit Model: Serial Number:
*Problem:
   
Unit Model: Serial Number:
Problem:
   
Unit Model: Serial Number:
Problem:
   
Unit Model: Serial Number:
Problem:
Amount Authorized for Repair:
Purchase Order #(if applicable):
Credit Card: Expiration:
Name as it appears on Card:
   

CMT will contact you within 24 hours to give you pricing information and a RMA number that you can attach to your units and then ship to us.

Caution: Make sure you completly fill out the form before you proceed, or you might have to start over!

 

If you experience problems with this site, try downloading the latest version of one of these browsers:
Internet Explorer